End Stage Renal Disease

Author: Beth Newstead / Editors: Kate Bramham, Lauren Fraser, Kathryn Blackmore / Code: O5 / Published: 17/08/2021


This session will illustrate through a series of clinical case studies some of the common problems a patient with end stage renal disease (ESRD) is prone to. The module also focuses on taking and performing a renal specific history and examination. It is written exclusively aimed at emergency physicians and does not intend in any way to be an exhaustive description of ESRD.

Learning Objectives:

  • be able to take a comprehensive history from patients with ESRD
  • understand the different types of access used in dialysis and the potential problems associated with them
  • be aware of the most common complications of peritoneal and haemodialysis and how to approach them


  1. Li PK, Szeto CC, Piraino B, Bernardini J, et al. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int. 2010 Jul-Aug;30(4):393-423.
  2. Ballinger AE, Palmer SC, Wiggins KJ, et al. Treatment for peritoneal dialysis-associated peritonitis. Cochrane Database Syst Rev. 2014 Apr 26;(4):CD005284.
  3. Reddy VM, Bagul A, Qureshi AA, and Nicholson ML. A Simple Technique to Control a Bleeding Arteriovenous Fistula. Ann R Coll Surg Engl 2006; 88(6): 592-593
  4. Sarnak MJ, Jaber BL. Mortality caused by sepsis in patients with end-stage renal disease compared with the general population. Kidney Int. 2000 Oct;58(4):1758-64.
  5. The Renal Association, UK Renal Registry. Annual Report. 2020.

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