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Emergency Medical Minute


Mar 23, 2019

Author: Ryan Circh, MD

Educational Pearls:

  • Chronic salicylate (ASA) toxicity can present in elderly patients as altered mental status
  • Consider chronic toxicity in patients with an unexplained anion gap acidosis
  • Treatment for chronic ingestion typically  includes IV fluids and urine alkalinization


O'Malley GF. Emergency department management of the salicylate-poisoned patient. Emerg Med Clin North Am. 2007 May;25(2):333-46; abstract viii. Review. PubMed PMID: 17482023.

Durnas C, Cusack BJ. Salicylate intoxication in the elderly. Recognition and recommendations on how to prevent it. Drugs Aging. 1992 Jan-Feb;2(1):20-34. Review. PubMed PMID: 1554971.

Summarized by Will Dewsipelaere, MS3 | Edited by Erik Verzemnieks, MD