TY - JOUR T1 - Highlights from this issue JF - Emergency Medicine Journal JO - Emerg Med J SP - 461 LP - 461 DO - 10.1136/emermed-2018-207955 VL - 35 IS - 8 AU - Simon Carley Y1 - 2018/08/01 UR - http://emj.bmj.com/content/35/8/461.abstract N2 - Fluid therapy is one of the most commonly prescribed therapies in the emergency department (ED). We all do it, we all have opinions on it and we’ve all read a whole bunch of contradictory and opinionated information on the pros and cons of the various different sorts of wet stuff available to us. In practice the world does seem to be divided into those who are obsessively compulsive or dogmatic about their fluid choices vs. those who are happy with a bit of ‘wet stuff’. Clearly the sensible position is somewhere between these extremes such that we can match our fluid strategies to the patient and their pathology. Tim Harris and colleagues have come together to shine light on the evidence, the physiology and the decision making that we should all be expert in, so this is a must read article. In brief, the use of crystalloids is advocated for non-blood resuscitation with some preference for balanced solutions. You may be surprised at just how abnormal the solution known as normal saline is! As for how much, how quickly and when to … ER -