PEM Currents: The Pediatric Emergency Medicine Podcast

Brad Sobolewski, MD, MEd

PEM Currents: The Pediatric Emergency Medicine Podcast is an evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and a Professor of Pediatric Emergency Medicine at Cincinnati Children’s and the University of Cincinnati.

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PEM Currents: The Pediatric Emergency Medicine Podcast

Episodes (150)

Aug 26th Saline or Balanced Fluids? What PRoMPT BOLUS Means for Pediatric Sepsis
Aug 5th Minor Procedures: Embedded Earrings
Jul 20th Cyclospora

PEM Currents: The Pediatric Emergency Medicine Podcast

Aug 26, 2026
11 minutes
15 MB

In children with septic shock, does the choice between balanced crystalloids and 0.9% saline actually matter? This episode reviews the composition and physiologic differences between commonly used crystalloids, summarizes the 2026 PRoMPT BOLUS trial, and discusses how its findings fit with the updated Surviving Sepsis Campaign pediatric guidelines. We also consider the trial’s limitations and what the results mean for fluid selection at the bedside. Learning Objectives By the end of this episode, listeners should be able to: Compare the composition and physiologic effects of 0.9% saline and balanced crystalloids used for pediatric fluid resuscitation. Summarize the design an...

PEM Currents: The Pediatric Emergency Medicine Podcast

Saline or Balanced Fluids? What PRoMPT BOLUS Means for Pediatric Sepsis

Brad Sobolewski, MD, MEd

00:00 -10:43