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HardEmergencySalicylate toxicityca-mccqe1ca-rcpsc-em

A 19-year-old man with a history of heavy aspirin ingestion presents with tinnitus, vomiting and tachypnoea. Arterial blood gas shows mixed respiratory alkalosis and metabolic acidosis. Salicylate level is markedly elevated. According to toxicology principles, which of the following is the most appropriate initial specific therapy?

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