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 ResearchMeSH KeywordsChildChild AbuseChild Protective ServicesEmergency Service, HospitalHumansInfantReferral and ConsultationRetrospective StudiesConceptsGuideline implementationExpert recommendationsIndeterminate casesCommunity emergency departmentsEvaluation of infantsGold standard testPostguideline implementationProvider adherenceCommunity EDRetrospective reviewED providersEmergency departmentCPS reportingClinical decisionTeam consultationInfantsInjurySignificant increaseAdherenceHigh percentageInterventionConsultationProvidersAbuseGuidelinesChild Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments
Tiyyagura G, Emerson B, Gaither JR, Bechtel K, Leventhal JM, Becker H, Della Guistina K, Balga T, Mackenzie B, Shum M, Shapiro ED, Auerbach M, McVaney C, Morrell P, Asnes AG. Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments. Academic Emergency Medicine 2020, 28: 70-81. PMID: 32931628, DOI: 10.1111/acem.14132.Peer-Reviewed Original ResearchMeSH KeywordsChild AbuseChild Protective ServicesEmergency Medical ServicesEmergency Service, HospitalHumansInfantInfant, NewbornReferral and ConsultationConceptsCommunity emergency departmentsHigh-risk injuriesChild protection teamSkeletal surveyChild protective servicesEmergency departmentClinical pathway implementationHospital child protection teamInitiation of interventionsStudy-Act approachDetection of abuseChild abuse expertsAbusive injuriesPathway implementationProvider trainingEmergency careInjuryTeam consultationInfantsMonthsProtection teamStatistical process control chartsInterventionSuch interventionsConsultationSexual 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 ResearchMeSH KeywordsAdolescentChecklistChildComputer SimulationEmergency MedicineEmergency Service, HospitalFemaleHumansSex OffensesConceptsSexual assaultStructured debriefingCognitive skillsCognitive aidsLearners’ attitudesAdolescent femalesSexual assault patientsCommunication skillsKnowledge skillsPsychomotor skillsSkillsForensic evaluationPediatric Simulation CaseEvidence collection processAssaultDebriefingTraineesAssault patientsAttitudesTrainingEM traineesInterventionAdolescentsContent expertsConfidence
2019
Oral 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 ResearchMeSH KeywordsChildChild AbuseChild, PreschoolDecision MakingEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleMouthPhysical AbusePrevalenceProspective StudiesConceptsPediatric 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 ResearchMeSH KeywordsAccidents, TrafficChildChild Restraint SystemsChild, PreschoolConnecticutEmergency Service, HospitalFeasibility StudiesFemaleHumansInfantInfant, NewbornMalePediatric Emergency MedicineConceptsPediatric 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
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
If 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 ResearchMeSH KeywordsAbdominal PainChildEmergency Service, HospitalHumansMalePoint-of-Care SystemsUltrasonography, Doppler, ColorUrolithiasis
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 ResearchMeSH KeywordsChildChild AbuseConnecticutEmergency Service, HospitalFemaleHumansInterviews as TopicMaleQualitative ResearchUnited StatesConceptsChild abuseRecognizing 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
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 ResearchMeSH KeywordsAdolescentAdultDepression, PostpartumEmergency Service, HospitalFemaleHumansPediatricsPrevalenceProspective StudiesRisk FactorsSurveys and QuestionnairesYoung AdultConceptsEdinburgh 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
2012
Sudden Unexpected Infant Death
Bechtel K. Sudden Unexpected Infant Death. Pediatric Emergency Care 2012, 28: 1085-1089. PMID: 23034500, DOI: 10.1097/pec.0b013e31826d1e9a.Peer-Reviewed Original ResearchMeSH KeywordsCause of DeathChild AbuseDiagnosis, DifferentialEmergency Service, HospitalHumansInfantRisk FactorsSudden Infant DeathUnited StatesConceptsSudden unexpected infant deathSudden infant death syndromeInfant death syndromeUnexpected infant deathEmergency departmentInfant deathDeath syndromeInterviews of caregiversChild death review teamsLocal medical examinersObvious causeED practitionersFatal child abuseED guidelinesCompassionate mannerMedical examinersDeathSyndromeReview teamCauseChild abuseInfants
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 childrenVenipunctureChildrenUtility of Hepatic Transaminases to Recognize Abuse in Children
Lindberg D, Makoroff K, Harper N, Laskey A, Bechtel K, Deye K, Shapiro R. Utility of Hepatic Transaminases to Recognize Abuse in Children. Pediatrics 2009, 124: 509-516. PMID: 19620197, DOI: 10.1542/peds.2008-2348.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAlanine TransaminaseAspartate AminotransferasesChild AbuseChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInfant, NewbornLiver Function TestsMagnetic Resonance ImagingMaleMass ScreeningPhysical ExaminationPredictive Value of TestsProspective StudiesReference ValuesReferral and ConsultationROC CurveTomography, X-Ray ComputedConceptsIU/LAbdominal injuriesAbdominal bruisingHepatic transaminasesPhysical abuseElevated transaminase levelsClinical examination findingsStandard of careChild abuse teamPopulation of childrenPossible physical abuseSubspecialty evaluationALT levelsTransaminase levelsClinical findingsExamination findingsObservational studyRoutine screeningAbdominal imagingImportant causeInjuryUniversal imagingTransaminaseChild physical abusePatients
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
A Randomized Trial of Nebulized Epinephrine vs Albuterol in the Emergency Department Treatment of Bronchiolitis
Mull CC, Scarfone RJ, Ferri LR, Carlin T, Salvaggio C, Bechtel KA, Trephan MA, Rissman RL, Gracely EJ. A Randomized Trial of Nebulized Epinephrine vs Albuterol in the Emergency Department Treatment of Bronchiolitis. JAMA Pediatrics 2004, 158: 113-118. PMID: 14757602, DOI: 10.1001/archpedi.158.2.113.Peer-Reviewed Original ResearchConceptsEpinephrine-treated groupEmergency department treatmentED dischargeClinical scoresNebulized epinephrineIll infantsOutcome measuresAntecedent upper respiratory tract infectionRespiratory rateRoom air oxygen saturationUpper respiratory tract infectionNew-onset wheezingRoom air saturationDouble-blind fashionProportion of patientsRespiratory tract infectionsMean clinical scoreSecondary outcome measuresPrimary outcome measureMonths of ageNebulized albuterolTract infectionsRelapse rateMedian timeRacemic epinephrine