Degloving of the skin of the palms and soles typically occurs during decomposition, as well as in cases involving thermal exposure (ie, fires) and immersions (see the following example). Postmortem degloving of the hand.
The most commonly used crystalloid fluid is normal saline, a solution of sodium chloride at 0.9% concentration, which is close to the concentration in the blood (isotonic). Ringer's lactate or Ringer's acetate is another isotonic solution often used for large-volume fluid replacement.ormal saline (NS) is the commonly used term for a solution of 0.9% w/v of NaCl, about 300 mOsm /L. Less commonly, this solution is referred to as physiological saline or isotonic saline, neither of which is technically accurate.
A solution of 0.9% sodium chloride is known as normal saline solution because its tonicity (308 mOsm/liter) closely correlates with the osmolality of plasma. This solution contains 154 mEq/liter of both sodium and chloride, close to normal plasma levels of 140 mEq/liter of sodium and 103 mEq/ liter of chloride.ndications. Hypotonic saline fluids such as 0.45% sodium chloride solution, which expand the intracellular compartment, are indicated for hypertonic dehydration, gastric fluid loss, and cellular dehydration from excessive diuresis.