In this episode of The Erik and Matt Show (EMS) with Erik Axene and Matt Ball, an emergency physician and a firefighter/paramedic break down how to recognize and manage dialysis emergencies in the field, starting from what healthy kidneys actually do so the failures finally make sense. They connect the volume-overloaded dialysis patient to the congestive heart failure patient, walk through why missing a single session can trigger a cascade of problems, and explain why you cannot lower a patient's potassium in the back of the truck, only buy them time with calcium and albuterol until definitive care.