2024
The Circumstances Surrounding Fatal Pediatric Opioid Poisonings, 2004-2020.
Gaither J, McCollum S, Bechtel K, Leventhal J, Mintz S. The Circumstances Surrounding Fatal Pediatric Opioid Poisonings, 2004-2020. Pediatrics 2024, 154 PMID: 39484873, PMCID: PMC11528886, DOI: 10.1542/peds.2024-067043n.Peer-Reviewed Original ResearchConceptsChild's own homeOpioid poisoningOwn homeHistory of maltreatmentSubstance use/abuseAge groupsDied of homicidePrimary caregiversYears of ageOpioid prescribingChildren 0Opioid fatalitiesHousehold factorsPrescription opioidsSubstance useChild maltreatmentCaregiversDecedentsReporting SystemIllicit fentanylMaltreatmentChildrenFatal opioid poisoningsAgeHome
2020
Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
Bechtel K, Bhatnagar A, Joseph M, Auerbach M. Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers. MedEdPORTAL 2020, 16: 10942. PMID: 32875091, PMCID: PMC7449576, DOI: 10.15766/mep_2374-8265.10942.Peer-Reviewed Original ResearchConceptsSexual assaultStructured debriefingCognitive skillsCognitive aidsLearners’ attitudesAdolescent femalesSexual assault patientsCommunication skillsKnowledge skillsPsychomotor skillsSkillsForensic evaluationPediatric Simulation CaseEvidence collection processAssaultDebriefingTraineesAssault patientsAttitudesTrainingEM traineesInterventionAdolescentsContent expertsConfidence
2018
Pediatric Bilateral Facial Paralysis: An Unusual Presentation of Lyme Disease
Wong K, Sequeira S, Bechtel K. Pediatric Bilateral Facial Paralysis: An Unusual Presentation of Lyme Disease. Pediatric Emergency Care 2018, Publish Ahead of Print: 1. PMID: 30365410, DOI: 10.1097/pec.0000000000001648.Peer-Reviewed Original ResearchConceptsBilateral facial nerve paralysisFacial nerve paralysisLyme diseaseUnusual presentationHuman immunodeficiency virus (HIV) infectionCommon infectious etiologiesBrain stem encephalitisComplaints of headacheGuillain-Barre syndromeImmunodeficiency virus infectionHistory of rashSerious systemic conditionsErythema chronicum migransRecent tick exposureLyme disease endemic areaDisease-endemic areasInfectious etiologyNerve paralysisPediatric populationEmergency departmentCase reportDiagnostic challengeRare conditionSystemic conditionsDifferential diagnosis
2017
Optimizing recruitment and retention of adolescents in ED research: Findings from concussion biomarker pilot study
Mbachu SN, Pieribone VA, Bechtel KA, McCarthy ML, Melnick ER. Optimizing recruitment and retention of adolescents in ED research: Findings from concussion biomarker pilot study. The American Journal Of Emergency Medicine 2017, 36: 884-887. PMID: 28918968, DOI: 10.1016/j.ajem.2017.09.014.Peer-Reviewed Original Research
2016
Drugs, guns and cars: how far we have come to improve safety in the United States; yet we still have far to go
Dodington J, Violano P, Baum CR, Bechtel K. Drugs, guns and cars: how far we have come to improve safety in the United States; yet we still have far to go. Pediatric Research 2016, 81: 227-232. PMID: 27673424, DOI: 10.1038/pr.2016.193.Peer-Reviewed Original ResearchConceptsPoison Prevention Packaging ActMotor vehicle crashesInjury preventionPrevention researchVehicle crashesInjury prevention researchOpioid overdose preventionPublic health approachChild passenger safetySignificant reductionInjury morbidityUnintentional injuriesLeading causeOpiate overdosesFirearm injuriesOverdose preventionInjury dataInjuryHealth approachMajor causeYoung adultsDriver’s license lawChild passenger safety lawsPreventionAdolescents
2014
Postpartum Depression Screening in the Pediatric Emergency Department
Emerson BL, Bradley ER, Riera A, Mayes L, Bechtel K. Postpartum Depression Screening in the Pediatric Emergency Department. Pediatric Emergency Care 2014, 30: 788-792. PMID: 25343740, DOI: 10.1097/pec.0000000000000260.Peer-Reviewed Original ResearchConceptsEdinburgh Postpartum Depression ScalePediatric emergency departmentPostpartum depressionMental health resourcesYoung infantsPED visitsEmergency departmentRisk mothersTertiary care pediatric emergency departmentTertiary care children's hospitalPrevalence of PPDHealth resourcesBaseline demographic characteristicsInitial ED presentationAdditional mental health needsConvenience samplePostpartum depression screeningPostpartum Depression ScaleNegative predictive valueMental health needsFirst-time mothersSocial work consultationED presentationsChildren's HospitalDepression screening
2010
Sexual abuse and sexually transmitted infections in children and adolescents
Bechtel K. Sexual abuse and sexually transmitted infections in children and adolescents. Current Opinion In Pediatrics 2010, 22: 94-99. PMID: 19952927, DOI: 10.1097/mop.0b013e32833502ad.Peer-Reviewed Original ResearchConceptsNucleic acid amplification testsHIV postexposure prophylaxisHuman papillomavirusPostexposure prophylaxisPrepubertal childrenChlamydia trachomatisNeisseria gonorrhoeaeTransmission of HIVMode of transmissionSexual abuseAnogenital infectionOutpatient supportSpecific infectionsSuch infectionsHigh riskSimplex virusAmplification testsC. trachomatisN. gonorrhoeaeInfectionChild protective servicesTrachomatisGonorrhoeaeProphylaxisHIV
2009
Relationship of Serum S100B Levels and Intracranial Injury in Children With Closed Head Trauma
Bechtel K, Frasure S, Marshall C, Dziura J, Simpson C. Relationship of Serum S100B Levels and Intracranial Injury in Children With Closed Head Trauma. Pediatrics 2009, 124: e697-e704. PMID: 19786430, DOI: 10.1542/peds.2008-1493.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsBiomarkersBrain InjuriesCase-Control StudiesChildChild, PreschoolEmergency Service, HospitalFemaleFollow-Up StudiesFractures, BoneGlasgow Coma ScaleHead Injuries, ClosedHumansInjury Severity ScoreMaleMultiple TraumaNerve Growth FactorsPredictive Value of TestsProbabilityRetrospective StudiesRisk AssessmentS100 Calcium Binding Protein beta SubunitS100 ProteinsSex FactorsSurvival AnalysisTomography, X-Ray ComputedConceptsLong bone fracturesTime of venipunctureSerum S100B measurementClosed head traumaIntracranial injurySerum S100B levelsS100B levelsS100B measurementHead traumaUrban pediatric emergency departmentMean S100B levelsLevels of S100BPediatric emergency departmentYears of ageReferral hospitalSerum levelsEmergency departmentCranial CTSkeletal injuriesAnalysis of covarianceBone fracturesInjuryNonwhite childrenVenipunctureChildren
2008
Impact of Sexual Assault Nurse Examiners on the Evaluation of Sexual Assault in a Pediatric Emergency Department
Bechtel K, Ryan E, Gallagher D. Impact of Sexual Assault Nurse Examiners on the Evaluation of Sexual Assault in a Pediatric Emergency Department. Pediatric Emergency Care 2008, 24: 442-447. PMID: 18580706, DOI: 10.1097/pec.0b013e31817de11d.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMedical recordsMore patientsEmergency departmentGU examinationEligible patientsHepatitis BSexual assault nurse examinersSTI testingGU injuriesC. trachomatisAdolescent sexual assault victimsMedical careN. gonorrhoeaeUrban pediatric emergency departmentSignificant differencesPrescription of prophylaxisProvision of prophylaxisFisher's exact testMedical record documentationPregnancy prophylaxisNurse examinersHIV prophylaxisPatient groupNursing shifts
2004
Acute Mental Status Change due to Acute Confusional Migraine
Bechtel K. Acute Mental Status Change due to Acute Confusional Migraine. Pediatric Emergency Care 2004, 20: 238-241. PMID: 15057179, DOI: 10.1097/01.pec.0000121244.99242.67.Peer-Reviewed Original Research