So here is something I didn't know: There is a shortage of normal saline, specifically 1 liter bags. We use a whole lot of saline in the ER. So this affects us greatly. The FDA's suggestion: Use smaller bags or think about alternatives.
I don't know why there is a shortage...could it be we use too much??? Could it be that every Tom, Dick and Harry who comes into the ER gets a liter of saline even if they don't need it? I've often thought we should just have an IV station in triage. Everybody who comes in gets an IV out there. That way they will already be in place and save a lot of time. Everybody gets one anyway, so what the hell?
Wouldn't it be nice if, with this shortage, doctors began to rethink starting all of these unnecessary IV's. Uh oh -there I go, using common sense again. Thinking that people can actually drink water. Foolish.
In trauma, this will be a problem. You can't exactly use 500 cc bags in the rapid infuser. Maybe LR will be used, who knows?