{"podcast":{"title":"Emergency Medical Minute","slug":"emergency-medical-minute-972156","podcast_index_feed_id":972156,"rss_url":"https://emergencymedicalminute.libsyn.com/rss","website_url":"https://www.emergencymedicalminute.com","image_url":"https://static.libsyn.com/p/assets/a/1/8/d/a18d8754552711ef/EMM_Logo_w_Black_Background.png","author":"medicalminute","episode_count":1161,"summary":"Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it's like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/emergency-medical-minute-972156"},"episode":{"title":"Podcast 1005: Balanced Fluid vs Normal Saline in Pediatric Patients","slug":"podcast-1005-balanced-fluid-vs-normal-saline-in-pediatric-patients","published_at":"2026-05-11T09:00:00+00:00","page_url":"https://stenobird.com/podcast/emergency-medical-minute-972156/podcast-1005-balanced-fluid-vs-normal-saline-in-pediatric-patients","show_page_url":"https://stenobird.com/podcast/emergency-medical-minute-972156","url":"https://emergencymedicalminute.libsyn.com/podcast-1005-balanced-fluid-vs-normal-saline-in-pediatric-patients","audio_url":"https://traffic.libsyn.com/secure/emergencymedicalminute/Podcast_1005-_Balanced_Fluid_vs_Normal_Saline_in_Pediatric_Patients.mp3?dest-id=465437","summary":"Contributor: Aaron Lessen, MD Educational Pearls: There has long been many questions about which IV fluid is best for ED resuscitation Multiple adult studies have shown no clear benefit of balanced fluid vs normal saline A large pediatric randomized clinical trial published in April compared balanced fluid vs normal saline in children with septic shock The study included about 9,000 patients from 47 emergency departments in five countries Patients with septic shock were randomized to receive either balanced fluid or normal saline The primary outcome was adverse kidney event (death, dialysis, or persistent kidney dysfunction) at 30 days or hospital discharge Results showed no difference in any safety outcomes and no adverse events occurred The key takeaway is that early fluid resuscitation matters more than which crystalloid you choose References Balamuth F, Weiss SL, Long E, et al. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. New England Journal of Medicine. Published online April 23, 2026. doi:https://doi.org/10.1056/nejmoa2601969 Summarized by Meg Joyce, MS3 | Edited by Meg Joyce & Ahmed Abdel-Hafiz, NREMT-P Donate: https://emergencymedicalminute.org/donate/","meta_description":"Contributor: Aaron Lessen, MD Educational Pearls: There has long been many questions about which IV fluid is best for ED resuscitation Multiple adult stud…","key_points":[],"chapters":[],"topics":[],"duration_seconds":136,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/emergency-medical-minute-972156/episodes/podcast-1005-balanced-fluid-vs-normal-saline-in-pediatric-patients/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/emergency-medical-minute-972156/podcast-1005-balanced-fluid-vs-normal-saline-in-pediatric-patients.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}