Dear editor,
Salbutamol is a common medication used in a variety of clinical settings. While there have been many reported cases of orally ingested salbutamol toxicity, there have only been a few reports of inhaled salbutamol overdose. We describe a case of acute inhaled salbutamol toxicity with a combination of clinical findings that have not been previously reported together in a single case. Given the ubiquitous use of salbutamol, many patients may experience symptoms of overdose on a spectrum that ranges from mild side effects to severe toxicity, which may be under-recognized by emergency physicians. We believe that it is important for all emergency clinicians to be aware of and recognize the syndrome of β2-agonist toxicity.