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September 5, 1959


JAMA. 1959;171(1):45-49. doi:10.1001/jama.1959.73010190001013

I propose to discuss practical, day-to-day problems of fluid therapy rather than high theory. Many of our failures in regard to fluid therapy are not the result of our failure to keep up with the latest advances. In a great many instances poor fluid therapy may be carried out because we do not activate long-established principles of good medical care as well as humane, diligent nursing and administrative practices. At the risk of belaboring what may seem to some to be a rather dubious or ill-advised point, I wish to emphasize this thesis further.

Please ask yourselves these questions: How often is the practice of fluid therapy impaired by inadequate history taking? How often is the practice jeopardized by hurried physical examination? How often is it given a black name by utterly inaccurate measurements of intake and output? How frequently do we neglect to take accurate daily measurements of body