Specialized Paramedicine

Toxicology rss

Salicylate toxicity

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January 12, 2014

So when we think about a salicylate in medicine what is the first thing that comes to mind? Most of us would probably spring back with acetylsalicylic acid, ASA. Aspirin is a common source of salicylates, but there are so many products available on the market that are unsuspecting. A list from salicylatesensitivity.com includes: Acne… Read More ›

Shock for the Tox-medic

A strong understanding of the shock state and anaerobic metabolism is essential to the understanding of several mechanisms of toxicity within the tox-medic’s scope of care. Many toxic substances inflict harm by disrupting the aerobic metabolism pathway in some way, creating a kind of shortcut or back door to hypoperfusion and shock. Before we can… Read More ›

Acid/Base: Another Look (Part I)

In the critical care transport setting, the importance of the arterial blood gas is frequently neglected. All too often I have watched as everyone from physicians to paramedics overlooked this important factor in trending patient care. We remember blood pressure and heart rate, but may neglect the importance of pH and other blood gas values. We learn… Read More ›