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Fran Ballamuth

Division Chief of Pediatric Emergency Medicine at Children's Hospital of Philadelphia; sepsis researcher and co-PI of the PROMPT BOLUS trial.

Jul 22, 2026

3:30
And nobody had really addressed the question the way we did.
3:34
And I guess just to give a little bit of background in terms of biologic rationale.
3:38
So I think, you know, the reason why people think that balanced fluids may be superior to saline for sepsis really has to do with chloride load.
3:45
So 0.9% saline has a super physiologic amount of chloride in it.
3:50
And there is strong evidence, both from kind of animal studies as well as humans, that if you get a lot of saline, it induces hyperchloremia.
3:57
And that hyperchloremia may lead to kind of downstream kidney injury and then kind of downstream clinical effects from that.
4:03
And so that was kind of the hypothesis driving the study.

17 MINS LATER

21:07
Tell me about some of the limitations to this study.

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