Saline vs. balanced solutions has been a topic of ongoing debate.  Two fresh studies will illuminate this: the SMART and SALT-ED trials.  This post summarizes current knowledge, beginning with physiology and working our way to fresh trials. Reason #1.  There is no physiologic rationale for using “normal” saline (NS). Saline is a hypertonic, acidotic fluid … Continue reading PulmCrit- Get SMART: Nine reasons to quit using normal saline for resuscitation