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Hospitals around the country are conserving critical intravenous fluid supplies to cope with a shortage that may last months. Some hospital administrators say they are changing how they think about IV fluid hydration altogether.

This story also ran on NPR. It can be republished for free.

Hurricane Helene, which hit North Carolina in September, wrecked a Baxter International facility that produces 60% of the IV fluids used in the U.S., according to the American Hospital Association.

The company was forced to stop production and is rationing its products. In an update posted Nov. 7, Baxter said its North Cove facility had resumed producing some IV fluids. In an email to KFF Health News, the company wrote that customers will be able to order normal quantities of certain IV solutions products by the end of the year, but there is no timeline for when the North Cove facility will be back to prehurricane production levels.

Meanwhile, hospitals are facing seasonal strains on their already limited IV fluid resources, said Sam Elgawly, chief of resource stewardship at Inova, a health system in the Washington, D.C., area.

Weve been very aggressive in our conservation measures, Elgawly said, stressing that he does not believe patient care has been compromised. He told KFF Health News that across the system IV fluid usage has dropped 55% since early October.

Elgawly called the shortage a crisis that he expects to have to continue managing for some time. We are going to operate under the assumption that this is going to be the way it is through the end of 2024 and have adopted our demand/conservation measures accordingly, he said. Email Sign-Up

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At the end of the calendar year, many patients with insurance hurry to schedule surgical procedures before their deductibles reset in January. Elgawly is eyeing that typical surgical rush and the impending peak of respiratory virus season as he tries to stockpile IV fluid bags. Hospitals such as Inovas are using different ways to conserve, such as giving some medications intravenously, but without a dedicated IV fluid bag, known as a push medication.

You don’t even need a bag at all. You just give the medication without the bag, he said. There has been increasing literature over the last 10 to 20 years that indicates maybe you don’t need to use as much. And this accelerated our sort of innovation and testing of that idea.

Monica Coleman is a nurse at a Department of Veterans Affairs hospital in North Chicago. She said using push medications takes more time out of a nurses already hectic schedule because then they need to monitor the patient.

This could increase adverse effects within the patient, because we’re giving the medication at a faster rate, she said.

Elgawly is also interested in retooling electronic health records to question doctor orders for more IV hydration.

Does the patient actually need that second bag? How did they do today with eating or drinking water or juice? They did well? They don’t need the bag. So it’s little conservation mechanisms like that that, when you add them across, you know, the 2,000-patient system that Inova is, make a significant dent, he said.

Simpler conservation measures could become common after the shortage abates, said Vince Green, chief medical officer for Pipeline Health, a small hospital system in the Los Angeles area that serves mainly people on Medicare and Medicaid.

First, Green would like to see data showing that patient outcomes arent affected. But for now, some of the new strategies just make sense to him. He has directed hospital staff to use up the entire IV bag before starting another.

If they come in with IV fluids that the paramedics have started, lets continue it. If it saves half a bag of fluids, so be it, but it adds up over time, he said.

Patients may be asked to take more accountability for their hydration, by drinking Gatorade or water rather than the default of hydrating through an IV, he said.

From an environmental aspect, we don’t need to have this much waste and fill up our landfills. If we could reduce stuff, I think it’d be wise, he said.

But hell feel better when his hospitals receive a full order, which could be weeks away. Green said they are down to a two-week supply, with an expected increase in hospitalizations due to respiratory virus season.

We’re purchasing every IV fluid bag that we can get, he said.

Jackie Fortir: @JackieFortier Related Topics Health Industry States Hospitals North Carolina Contact Us Submit a Story Tip

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Politics

Britain must ‘lead from the front’ in Ukraine and ‘tough choices to come’, says Sir Keir Starmer

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Britain must 'lead from the front' in Ukraine and 'tough choices to come', says Sir Keir Starmer

There are more tough choices to come on Ukraine and Britain must “lead from the front”, Sir Keir Starmer has said.

The prime minister gave a statement in parliament after he unveiled proposals for a “coalition of the willing” to enforce any peace deal in the war-torn country, and announced a plan for Kyiv to use £1.6bn of UK export finance to buy 5,000 more air defence missiles.

Politics latest: Farage says Zelenskyy ‘rude’ to Trump

He said the “tough choices that we made last week are not done” and a “lasting peace” in Ukraine “has to be our goal”.

“Britain will lead from the front for the security of our continent, the security of our country, and the security of the British people,” he said.

It follows a hectic week of diplomacy for Sir Keir, during which he held talks with Donald Trump in the White House on Thursday, hosted Ukraine’s president in Downing Street on Saturday and then a wider summit of world leaders on Sunday.

Sandwiched in between his Washington DC trip and busy weekend back home was Volodymyr Zelenskyy’s extraordinary row with the US president in the Oval Office, which cast more doubt on America’s support for Kyiv.

More on Keir Starmer

Sir Keir said the showdown is something “nobody wants to see” but he would not pick a side.

He called America an “indispensable” ally, adding: “We will never choose between either side of the Atlantic

Ukraine's President Volodymyr Zelensky and Prime Minister Sir Keir Starmer head to a private room to hold a meeting during a Leaders' Summit on the situation in Ukraine at Lancaster House, London. Picture date: Sunday March 2, 2025.
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Zelenskyy and Starmer. Pic: PA

“In fact, if anything, the past week has shown that that idea is totally unserious because while some people may enjoy the simplicity of taking a side, this week has shown with total clarity that the US is vital in securing the peace we all want to see in Ukraine.”

In front of the world’s cameras on Friday, Mr Trump accused the Ukrainian president of “disrespecting” the United States and “gambling with World War Three” after he expressed scepticism that Vladimir Putin could be trusted to honour ceasefire agreements.

It has intensified fears among some Western leaders that the US cannot be relied upon to continue supporting Ukraine, or provide a security guarantee to deter the Russian leader if a peace deal is struck.

After the PM’s statement, Liberal Democrat leader Sir Ed Davey said the UK needs to “reduce our dependency on the United States” as he fears President Trump is “not a reliable ally with respect to Russia”.

However, many other opposition politicians have praised Sir Keir’s diplomacy this week, with Tory leader Kemi Badenoch backing the prime minister for “working with allies in Europe and with the United States to bring peace to Ukraine and not a surrender to Russia”.

Read More:
The ‘coalition of the willing’ that could secure peace in Ukraine

Sir Keir has been positioning himself as a peace broker between the US and Europe following Mr Trump’s ascension to the White House and his clear indication he no longer wants to bankroll NATO’s defence.

He has suggested a coalition of European allies could step up and defend a potential deal for Ukraine to “guarantee the peace” and indicated some EU nations could follow in the UK’s footsteps and increase defence spending.

However, he argues that while a security guarantee should be led by Europe, it needs US backing.

Mr Trump has not committed to such a guarantee and previously suggested a minerals deal between the US and Ukraine could act as one.

In response to a question from Reform UK leader Nigel Farage, Sir Keir told the Commons this would “not be enough on its own”.

In any case, the deal has been put on hold following Mr Trump’s row with the Ukrainian president.

Shortly after the PM finished speaking, Mr Trump hit out at Mr Zelenskyy once again, saying the US would “not put up with him” for much longer after he said the end of the war with Russia is “very far away”.

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World

Long-range drone strikes weakening Russia’s combat ability, senior Ukrainian commander says

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Long-range drone strikes weakening Russia's combat ability, senior Ukrainian commander says

Russia is finding it “significantly” harder to conduct combat operations against Ukraine because of a rise in Ukrainian long-range drone strikes on Russian weapons supplies, ammunition depots and fuel refineries, a senior commander has said.

Brigadier General Yuriy Shchygol signalled these attacks would grow, revealing that his country plans to more than quadruple the production rate of deep strike drones – with a range of hundreds of miles – to more than 2,000 aircraft a month.

Brigadier General Yuriy Shchygol
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Brigadier General Yuriy Shchygol

Ukraine has been intensifying the tempo of its long-range drone strikes against targets inside Russia and Russian-occupied territory since late December – demonstrating what defence sources say is a world-leading capability that the Kremlin is struggling to counter.

The mission is an example of how Kyiv remains focused on combatting Moscow’s invasion even as world attention fixates on the fallout from a row between Donald Trump and Volodymyr Zelenskyy, as well as efforts by Europe to prepare a plan for peace.

Live updates: Ukraine war latest

The comments by Brigadier Shchygol, who coordinates long-range drone strikes for Ukraine’s Defence Intelligence, offer a rare insight into the impact of the covert mission, which is also carried out by other branches of the Ukrainian military and security services.

“Russia is finding it increasingly difficult to conceal the extent of the damage,” the commander told Sky News in an interview at an undisclosed location in Kyiv.

“Headquarters have been hit, command structures weakened, and panic is spreading among their officers. Compared to a year ago, conducting full-scale combat operations has become significantly more challenging for [the Russians].”

Ukrainian drones being launched from a secret location
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Ukraine’s drone technology is considered to be world-leading


Sky News analysis of long-range drone strikes last month found that since December, there had been a ramping up of attacks against oil refineries in Russia that are used to fuel Russian tanks, jets and warships.

The analysis took in strikes officially confirmed by the Ukrainian armed forces. Brigadier Shchygol said “far more” drone attacks by Ukraine are not publicly confirmed.

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Ukraine ramps up attacks on oil depots

In a sign of the importance placed on long-range drones, he said Kyiv’s ability to manufacture this weapon has already jumped 100-fold since late 2022 to more than 500 per month.

While the officer would not say how many of these drones are then deployed on operations, he noted: “Nothing is just sitting in storage unused.”

He said recent operations had targeted several storage sites for Russia’s Iranian-designed Shahed one-way attack drones – used by the Russian armed forces against Ukrainian military and civilian targets.

More than 3,000 Shahed unmanned aerial vehicles were destroyed, according to the officer, who said: “As a result, their deployment of these drones has significantly decreased.”

Top secret drone mission

Sky News was given rare access to view a drone mission last week at a top-secret area.

As night fell, soldiers dressed in black – all members of the Defence Intelligence of Ukraine, an elite branch of the armed forces – prepared a line of about 10 drones.

Ukrainian drones being launched from a secret location
Image:
Ukrainian drones being launched from a secret location

Each aircraft looked like a giant, grey metal mosquito.

The model is called “Lutti”, which is Ukrainian for “Fury”.

One by one, the drones burst into life, a propeller on the back whirring, pushing the aircraft forward at ever greater speed until it took off into the darkness.

We were told their target was an ammunition depot inside Russia.

Ukrainian drones being launched from a secret location
Image:
Ukraine’s drone technology is considered to be world-leading


"Vector", the commander on the ground, spoke with a balaclava pulled up to his eyes to protect his identity
Image:
“Vector” spoke with a balaclava pulled up to his eyes to protect his identity

“Vector”, the commander on the ground, said his drones have a success rate of 70 to 80%.

He said Ukraine’s deep strike operations are “very important”.

“We change the war with these drones,” Vector said, speaking with a balaclava pulled up to his eyes to protect his identity.

“We can show [Russia] that the war can come in their houses, in their towns, cities.”

Russia’s sheer size makes it vulnerable

Using drones to strike targets hundreds of miles inside Russia is a complex challenge.

As night falls, members of an elite branch of Ukraine's armed forces prepare a line of drones
Image:
As night falls, members of an elite branch of Ukraine’s armed forces prepare a line of drones

But the sheer size of their enemy’s country works in Ukraine’s favour. The Russian military has weapons sites, ammunition storage areas, oil refineries and military headquarters dotted across its territory and lacks the air defences to be able to protect them all.

“We are reaching those targets. The slowing pace of their offensives – and in some places, even Ukrainian counter-offensives reclaiming territory – proves that our strikes are effective and growing more so,” Brigadier Shchygol said.

Read more:
Which countries could send peacekeeping troops to Ukraine?
In the room with Volodymyr Zelenskyy

A huge planning and reconnaissance effort underpins Ukraine’s long-range drone strikes.

It identifies targets and coordinates attacks between the different teams.

Varying volumes of drones are required for each mission – with some of the most complex strikes needing 100 unmanned aircraft.

From farm aircraft to fighter drone

The brigadier was speaking in a large room inside a disused building in Kyiv where five examples of different Ukrainian long-range drones were on display.

Brigadier General Yuriy Shchygol
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Brigadier Shchygol spoke to Sky News from a room where long-range drones were on display

They tell the story of the evolution of vital battlefield technology that began life on a farm.

The earliest form of the long-range drone looks like an ordinary light aircraft, with rectangular wings and two propellers. It is a lot smaller than a manned plane but much larger than a regular drone – probably about the length of a car, with a similar wingspan.

This model, fitted with a camera and a large fuel tank to fly for long periods, had been used for surveillance for agricultural purposes.

It was adapted after Russia’s full-scale invasion to conduct reconnaissance and even bombing missions.

The idea was then modified further to develop similar-sized drones that look more like fighter jets, with pointed noses and triangular wings. These were designed to hold explosives in the main body of the plane.

Some of the drones are remotely piloted, others work via autopilot.

Russia’s war has forced Ukraine to use technology and innovation to fight back against its far more powerful foe.

It has accelerated the use of autonomous machines in an irreversible transformation of the warzone that everyone is watching and learning from.

Brigadier Shchygol said: “Right now, Ukraine’s battlefield experience is essentially a manual for the world.”

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Environment

Tesla owners get creative to distance themselves from Elon with new car logos & projectors

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Tesla owners get creative to distance themselves from Elon with new car logos & projectors

Tesla owners are finding creative ways to distance themselves from Elon Musk. They are now removing Tesla logos from their vehicles, replacing them with badging from other automakers, and even using projections on a Cybertruck in one case.

We previously reported on the surge in sales of stickers reading variations of “I bought this car before I knew Elon was crazy.” One particular business selling such stickers claimed to be selling hundreds per day as Tesla owners are looking to distance themselves from the automaker’s CEO.

Things have escalated since then, and the hate against Tesla has ramped up quite a bit. Some Tesla owners are even worried about people vandalizing their vehicles.

Now, some Tesla owners have found some more creative, tongue-in-cheek ways to distance their Tesla ownership from Elon Musk than slapping a sticker on their bumper.

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For example, Tesla vehicles are being spotted de-badged with the Tesla logos replaced with badges from other automakers (pictures via Stonk King):

It’s not exactly a new phenomenon, but lately, more of these Tesla vehicles with other automaker logos have been spotted.

But here’s an even more creative and clearer example of a Tesla owner trying to distance themselves from Musk.

A Tesla Cybertruck projecting images on its tailgate has been spotted several times in the last week:

It displays pleas not to graffiti the vehicle and adds things like “this truck already makes me look stupid enough.”

The short video is signed “Mussk production,” with the “ss” referencing the Schutzstaffel, a Nazi paramilitary group.

Electrek’s Take

Obviously, these are somewhat tongue-in-cheek examples, but between these, Tesla protests worldwide, and declining sales, it is genuinely mindboggling to see the destruction of Tesla’s brand in such a short period of time.

I have been covering Tesla for roughly 15 years and I remember when it was completely unknown brand, loved only by a handful of EV nerds, like myself, and hated by fossil fuel propagandists.

It took a great deal of work from Tesla employees and the EV community to build Tesla into an incredibly beloved global EV brand. A deep social media addiction, purchasing of Twitter, a move into politics, a few salutes, and now most of that incredible work is gone.

It takes years to build a reputation and seconds to destroy it.

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