CME 04/12/14 – Emergent Haemodialysis

Here is Jonathan’s talk on emergent haemodialysis and how to identify patients that may require this intervention.


Indications for Emergent Haemodialysis (Mnemonic = AEIOU):
  • Acidosis (Metabolic)
    • if severe / refractory to HCO3  or symptomatic (arrhythmias)
    • esp. metformin lactic acidosis (usually also have ARF and removes metformin)
  • Electrolytes
    • esp Hyper K+; also Ca++, insulin, HCO3-
  • Ingestions / Intoxication
    • if dialysable drugs – toxic alcohols, lithium, potassium, salicylates, valproate, carbamazepine, theophylline, metformin
  • Overload (Fluid)
    • if causing APO refractory to medical management
  • Uraemia
    • if symptomatic – pericarditis, neuropathy, altered mental state, seizures, platelet dysfn with bleeding…
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Dr James Wheeler

Emergency Physician, SCGH, WA, Australia

Articles: 464

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