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Comment & Response
August 2016

Toxic Alcohol Calculations and Misinterpretation of Laboratory Results

Author Affiliations
  • 1Division of Medical Toxicology, The Ronald O. Perelman Department of Emergency Medicine, New York, New York
JAMA Intern Med. 2016;176(8):1228. doi:10.1001/jamainternmed.2016.3717

To the Editor We read with interest the article by Himmel and colleagues1 that discussed the institution of hemodialysis for an erroneous laboratory result and would like to add some additional points. We wish to empathize with the authors, because we reported 3 cases in which a 10-fold misinterpretation of salicylate concentrations produced similar cognitive errors.2 As in the case reported by Himmel and colleagues, there was an intellectual disconnect between the clinical findings of poisoning and the laboratory result that would have been easily solved by a seasoned clinician.

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