Author: Katie Donnelly MD

Katie's research interests include medical education, trauma and injury prevention. Outside of the ED, Katie enjoys live sporting events, the National Zoo, and all the free museums here in DC!

AOTW: Hematoma Blocks

Title: Evaluating the Hematoma Block as an Adjunct to Procedural Sedation for Closed Reduction of Distal Forearm Fractures   Methods: Randomized control trial of lidocaine vs normal saline injections for hematoma blocks in children that were going to be sedated for forearm fractures already. 90 total patients (50 received lido, 40 NS).  Children were a […]

AOTW: Cost containment in the ER and approach to altered mental status

by Dave Mathison MD MBA Children’s National In this installment of the article of the week, I challenge you to: 1) Consider cost containment in your ED care delivery while you balance patient needs. This commentary in Annals talks about the concept of PRICE TRANSPARENCY in the ED. “You have a migraine? Why don’t you […]

AOTW: Terbutaline in Asthma

by Alex Rucker MD Children’s National Early administration of terbutaline in severe pediatric asthma may reduce the need for assisted ventilation.  It’s from the March 2014 Annals of Allergy, Asthma and Immunology.  Location:  North Shore-LIJ Hypothesis:  Early administration of IV terb, prior to PICU admission, for severe asthma patients will prevent need for both noninvasive […]