My name is Paul Elbers, and I'm from Amsterdam, the Netherlands. I'm proud to be part of the first telemedicine unit established in Europe. In my presentation, I focused on saline-induced metabolic acidosis—a real and clinically significant phenomenon. Using the Stewart approach, I explained how this framework helps us better understand the underlying mechanisms and why this condition can be harmful to many patients. When managing critically ill individuals, every detail matters, including fluid composition. That's why my key message was simple but important: think twice before choosing saline.

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