Evidence map›Paper›PMID 41049912›Full record

ReviewCureus2025

Acute Salicylate Toxicity: A Narrative Review for Emergency Clinicians.

Alexander M Sidlak, Anthony Spadaro, Alex Koyfman, Brit Long

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Nutrients · 2026
    Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alexander M SidlakEmergency Medicine, George Washington University, Washington, DC, USA.
Anthony SpadaroEmergency Medicine, Rutgers University Hospital-Newark, Newark, USA.
Alex KoyfmanEmergency Medicine, University of Texas Southwestern Medical Center, Dallas, USA.
Brit LongEmergency Medicine, University of Virginia School of Medicine, Charlottesville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute salicylate toxicity is a major source of morbidity and mortality. A multitude of medications, including over-the-counter therapies and topical treatments, contain salicylates. In overdose, they result in uncoupling of oxidative phosphorylation, inhibition of citric acid dehydrogenases, increased keto-acid production, and decreased ATP production, leading to a progression of signs and symptoms. Patients may develop respiratory alkalosis and an anion gap metabolic acidosis. Patients present with a range of symptoms, including nausea, vomiting, diarrhea, tinnitus, altered mental status, agitation, seizures, pulmonary edema, and coma. Acute treatment includes gastrointestinal decontamination, serum alkalinization, and fluid resuscitation. Hemodialysis is necessary in cases with severely high serum salicylate concentrations, hypoxia, altered mental status, and significant acid-base disorders. This review highlights the pearls and pitfalls of acute salicylate toxicity, including presentation, diagnosis, and management in the emergency department based on current evidence.

Indexed as

alkalinizationaspirinhemodialysisrenalsalicylatestoxicology

Identifiers

PMID41049912
PMCPMC12491073

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.