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
2023
Spotlighting the imbalance: Gender disparities among speakers and awardees at pediatric emergency medicine conferences
Reichard K, Levine D, Reed J, Barrick‐Groskopf L, Bechtel K, Cooper G, Hall J, White M, Langhan M. Spotlighting the imbalance: Gender disparities among speakers and awardees at pediatric emergency medicine conferences. Academic Emergency Medicine 2023, 30: 1138-1143. PMID: 37550843, DOI: 10.1111/acem.14786.Peer-Reviewed Original Research
2020
The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments
Shum M, Asnes A, Leventhal JM, Bechtel K, Gaither JR, Tiyyagura G. The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments. Academic Pediatrics 2020, 21: 521-528. PMID: 33160081, DOI: 10.1016/j.acap.2020.11.001.Peer-Reviewed Original ResearchConceptsGuideline implementationExpert recommendationsIndeterminate casesCommunity emergency departmentsEvaluation of infantsGold standard testPostguideline implementationProvider adherenceCommunity EDRetrospective reviewED providersEmergency departmentCPS reportingClinical decisionTeam consultationInfantsInjurySignificant increaseAdherenceHigh percentageInterventionConsultationProvidersAbuseGuidelinesSexual 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
2019
Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma
Wiley M, Schultheis A, Francis B, Tiyyagura G, Leventhal JM, Rutherford H, Mayes LC, Bechtel K. Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma. Academic Pediatrics 2019, 20: 448-454. PMID: 31629119, DOI: 10.1016/j.acap.2019.10.009.Peer-Reviewed Original ResearchOral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatients
2018
Feasibility of providing child restraint devices after a motor vehicle crash in a pediatric emergency department
Violano P, Aysseh N, Lucas M, Gawel M, Morrell P, Norway C, Alfano A, Bechtel K. Feasibility of providing child restraint devices after a motor vehicle crash in a pediatric emergency department. Traffic Injury Prevention 2018, 19: 844-848. PMID: 30657709, DOI: 10.1080/15389588.2018.1496243.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMotor vehicle crashesChild restraint devicesEmergency departmentLevel 1 trauma centerRestraint devicesVehicle crashesBrief educational interventionTrauma centerChildhood morbidityMedical costsPED providersED personnelEducational interventionAppropriate ageUse statusAppropriate useChildrenPatientsSafety of childrenCaregiversCrash mechanismsGuidelinesEDDepartment
2017
Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura G, Beucher M, Bechtel K. Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment. Pediatric Emergency Medicine Practice 2017, 14: 1-32. PMID: 28665574.Peer-Reviewed Original ResearchMeSH KeywordsBurnsChildChild AbuseChild, PreschoolContusionsCraniocerebral TraumaDiagnosis, DifferentialEmergency Medical ServicesEvidence-Based MedicineFemaleFractures, BoneGuidelines as TopicHumansInfantIntensive Care Units, PediatricMaleMandatory ReportingPhysical ExaminationPhysician's RolePractice Patterns, Physicians'Retinal HemorrhageUnited StatesWounds and InjuriesPrevention of Pediatric Abusive Head Trauma: Time to Rethink Interventions and Reframe Messages
Leventhal JM, Asnes AG, Bechtel K. Prevention of Pediatric Abusive Head Trauma: Time to Rethink Interventions and Reframe Messages. JAMA Pediatrics 2017, 171: 218-220. PMID: 28135369, DOI: 10.1001/jamapediatrics.2016.4512.Peer-Reviewed Original Research
2016
Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance
Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Gawel M, Koziel J, Whitfill T, Tiyyagura GK. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance. Prehospital Emergency Care 2016, 21: 222-232. PMID: 27700209, DOI: 10.1080/10903127.2016.1229824.Peer-Reviewed Original ResearchConceptsInter-rater reliabilityClinical experiencePrehospital providersLight's kappaEmergency medical services (EMS) providersCronbach's alphaAuthors' clinical experienceOverall Cronbach's alphaOverall inter-rater reliabilityInternal consistencyChild abuseSubstantial inter-rater reliabilityDelphi review processStrong content validityMedical service providersSemi-structured qualitative interviewsFinal checklistSelf-reported confidenceProvider experienceParticipant characteristicsItem completionLevel of trainingDelphi reviewContent validityProvider performanceDrugs, 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 lawsPreventionAdolescentsIf You Twinkle When You Tinkle, Stones Are Found on Ultrasound
Riera A, Bokhari SA, Bechtel K. If You Twinkle When You Tinkle, Stones Are Found on Ultrasound. Pediatric Emergency Care 2016, 32: 246-249. PMID: 26359827, DOI: 10.1097/pec.0000000000000542.Peer-Reviewed Original Research
2015
Barriers and Facilitators to Detecting Child Abuse and Neglect in General Emergency Departments
Tiyyagura G, Gawel M, Koziel JR, Asnes A, Bechtel K. Barriers and Facilitators to Detecting Child Abuse and Neglect in General Emergency Departments. Annals Of Emergency Medicine 2015, 66: 447-454. PMID: 26231409, DOI: 10.1016/j.annemergmed.2015.06.020.Peer-Reviewed Original ResearchRecognizing Victims of Human Trafficking in the Pediatric Emergency Department
Becker HJ, Bechtel K. Recognizing Victims of Human Trafficking in the Pediatric Emergency Department. Pediatric Emergency Care 2015, 31: 144-147. PMID: 25651385, DOI: 10.1097/pec.0000000000000357.Peer-Reviewed Original Research
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
2002
Abuse or not abuse: That is the question
ISAACMAN D, POIRIER M, BAXTER A, BECHTEL K, PIERCE M. Abuse or not abuse: That is the question. Pediatric Emergency Care 2002, 18: 203-208. PMID: 12066010, DOI: 10.1097/00006565-200206000-00014.Peer-Reviewed Original Research