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When the EMS clinician encounters a dialysis patient, a set of focused questions to the patient and any family/dialysis clinic staff present can be quite helpful to subsequent treatment teams.

 Dialysis schedule – Knowing what days of the week the patient has dialysis, as well as the day of the most recent session is useful.

 Length of sessions – Attempt to determine how many hours each dialysis session is, as well as if the patient is completing the full length each time, with attention to the last session. If transporting from the dialysis center, it is important to determine whether the session was completed, partial, or not even started.

 Volume status – Each patients should have a known “dry weight,” which is the ideal euvolemic weight. Additionally, knowing the patient’s current weight can greatly help with fluid status assessment. The patient or dialysis center staff may also be able to state how much weight/fluid is removed with each dialysis and/or the current net fluid volume.

 Vital signs – Dialysis patients may have “abnormal” vital signs at baseline. If so, careful documentation of the patient’s baseline heart rate and blood pressure is important. Refrain from using the limb on the same side of hemodialysis access to prevent complications like thrombosis.

 Urine output status – Whether or not an ESRD patient is still able to make urine for diuresis is often helpful in treatment decisions of the fluid overloaded patient.