2006
Inflicted Traumatic Brain Injury: Making the Diagnosis in the Emergency Department
Bechtel K, Berger R. Inflicted Traumatic Brain Injury: Making the Diagnosis in the Emergency Department. Clinical Pediatric Emergency Medicine 2006, 7: 138-142. DOI: 10.1016/j.cpem.2006.05.002.ChaptersTraumatic brain injuryBrain injuryEmergency departmentMinority of patientsSevere brain injuryRetinal hemorrhagesClinical findingsOminous symptomRib fracturesSubdural hemorrhageCommon causeMild formInjuryITBISerious injuriesHemorrhageYoung childrenSymptomsChildrenWide spectrumDepartmentVomitingMorbidityPatientsIrritability
2004
Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head Trauma
Bechtel K, Stoessel K, Leventhal JM, Ogle E, Teague B, Lavietes S, Banyas B, Allen K, Dziura J, Duncan C. Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head Trauma. Pediatrics 2004, 114: 165-168. PMID: 15231923, DOI: 10.1542/peds.114.1.165.Peer-Reviewed Original ResearchConceptsAbusive head injuryAccidental head injuryAbnormal mental statusMonths of ageUnilateral retinal hemorrhageRetinal hemorrhagesHead injuryProportion of childrenScalp hematomaMental statusHead traumaOutcome measuresSecondary outcome measuresHead injury groupSerial neurologic examinationsMain outcome measuresAbusive head traumaChild abuse specialistInjury groupEye examinationVitreous hemorrhageClinical featuresInitial presentationNeurologic examinationOphthalmoscopic examination