EXTRIP Extracorporeal Toxicology 2015 — Guidelines for Extracorporeal Treatment in Poisoning and Drug Toxicity

Emergent intermittent hemodialysis is strongly recommended for: (1) Toxic alcohols (methanol or ethylene glycol with severe acidemia, end-organ injury, or level > 50 mg/dL), (2) Salicylates (level > 100 mg/dL, severe acidemia pH < 7.20, or neurological impairment), (3) Severe Metformin-Associated Lactic Acidosis (MALA with pH < 7.00 or refractory shock), (4) Lithium toxicity (level > 4.0 mEq/L or severe neurological toxicity).