EMS Provider Assessment of Vehicle Damage Compared to a Professional Crash Reconstructionist
Identifieur interne : 000365 ( Pmc/Checkpoint ); précédent : 000364; suivant : 000366EMS Provider Assessment of Vehicle Damage Compared to a Professional Crash Reconstructionist
Auteurs : E. Brooke Lerner [États-Unis] ; Jeremy T. Cushman [États-Unis] ; Alan Blatt [États-Unis] ; Richard Lawrence [États-Unis] ; Manish N. Shah [États-Unis] ; Robert Swor [États-Unis] ; Karen Brasel [États-Unis] ; Gregory J. Jurkovich [États-Unis]Source :
- Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors [ 1090-3127 ] ; 2011.
Abstract
To determine the accuracy of EMS provider assessments of motor vehicle damage, when compared to measurements made by a professional crash reconstructionist.
EMS providers caring for adult patients injured during a motor vehicle crash and transported to the regional trauma center in a midsized community were interviewed upon ED arrival. The interview collected provider estimates of crash mechanism of injury. For crashes that met a preset severity threshold, the vehicle’s owner was asked to consent to having a crash reconstructionist assess their vehicle. The assessment included measuring intrusion and external auto deformity. Vehicle damage was used to calculate change in velocity. Paired t-test and correlation were used to compare EMS estimates and investigator derived values.
91 vehicles were enrolled; of these 58 were inspected and 33 were excluded because the vehicle was not accessible. 6 vehicles had multiple patients. Therefore, a total of 68 EMS estimates were compared to the inspection findings. Patients were 46% male, 28% admitted to hospital, and 1% died. Mean EMS estimated deformity was 18” and mean measured was 14”. Mean EMS estimated intrusion was 5” and mean measured was 4”. EMS providers and the reconstructionist had 67% agreement for determination of external auto deformity (kappa 0.26), and 88% agreement for determination of intrusion (kappa 0.27) when the 1999 Field Triage Decision Scheme Criteria were applied. Mean EMS estimated speed prior to the crash was 48 mph±13 and mean reconstructionist estimated change in velocity was 18 mph±12 (correlation -0.45). EMS determined that 19 vehicles had rolled over while the investigator identified 18 (kappa 0.96). In 55 cases EMS and the investigator agreed on seatbelt use, for the remaining 13 cases there was disagreement (5) or the investigator was unable to make a determination (8) (kappa 0.40).
This study found that EMS providers are good at estimating rollover. Vehicle intrusion, deformity, and seatbelt use appear to be more difficult to estimate with only fair agreement with the crash reconstructionist. As expected, the EMS provider estimated speed prior to the crash does not appear to be a reasonable proxy for change in velocity.
Url:
DOI: 10.3109/10903127.2011.598614
PubMed: 21815732
PubMed Central: 3163749
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:3163749Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">EMS Provider Assessment of Vehicle Damage Compared to a Professional Crash Reconstructionist</title>
<author><name sortKey="Lerner, E Brooke" sort="Lerner, E Brooke" uniqKey="Lerner E" first="E. Brooke" last="Lerner">E. Brooke Lerner</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Medical College of Wisconsin, Milwaukee, WI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Wisconsin</region>
</placeName>
<wicri:cityArea>Medical College of Wisconsin, Milwaukee</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Cushman, Jeremy T" sort="Cushman, Jeremy T" uniqKey="Cushman J" first="Jeremy T." last="Cushman">Jeremy T. Cushman</name>
<affiliation wicri:level="2"><nlm:aff id="A2">University of Rochester, Rochester, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>University of Rochester, Rochester</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Blatt, Alan" sort="Blatt, Alan" uniqKey="Blatt A" first="Alan" last="Blatt">Alan Blatt</name>
<affiliation wicri:level="2"><nlm:aff id="A3">CUBRC, Buffalo, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>CUBRC, Buffalo</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Lawrence, Richard" sort="Lawrence, Richard" uniqKey="Lawrence R" first="Richard" last="Lawrence">Richard Lawrence</name>
<affiliation wicri:level="2"><nlm:aff id="A3">CUBRC, Buffalo, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>CUBRC, Buffalo</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Shah, Manish N" sort="Shah, Manish N" uniqKey="Shah M" first="Manish N." last="Shah">Manish N. Shah</name>
<affiliation wicri:level="2"><nlm:aff id="A2">University of Rochester, Rochester, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>University of Rochester, Rochester</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Swor, Robert" sort="Swor, Robert" uniqKey="Swor R" first="Robert" last="Swor">Robert Swor</name>
<affiliation wicri:level="2"><nlm:aff id="A4">William Beaumont Hospital, Royal Oak, MI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Michigan</region>
</placeName>
<wicri:cityArea>William Beaumont Hospital, Royal Oak</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Brasel, Karen" sort="Brasel, Karen" uniqKey="Brasel K" first="Karen" last="Brasel">Karen Brasel</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Medical College of Wisconsin, Milwaukee, WI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Wisconsin</region>
</placeName>
<wicri:cityArea>Medical College of Wisconsin, Milwaukee</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Jurkovich, Gregory J" sort="Jurkovich, Gregory J" uniqKey="Jurkovich G" first="Gregory J." last="Jurkovich">Gregory J. Jurkovich</name>
<affiliation wicri:level="2"><nlm:aff id="A5">Harborview Medical Center, Seattle, WA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Harborview Medical Center, Seattle</wicri:cityArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">21815732</idno>
<idno type="pmc">3163749</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163749</idno>
<idno type="RBID">PMC:3163749</idno>
<idno type="doi">10.3109/10903127.2011.598614</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">000323</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000323</idno>
<idno type="wicri:Area/Pmc/Curation">000323</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000323</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000365</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000365</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">EMS Provider Assessment of Vehicle Damage Compared to a Professional Crash Reconstructionist</title>
<author><name sortKey="Lerner, E Brooke" sort="Lerner, E Brooke" uniqKey="Lerner E" first="E. Brooke" last="Lerner">E. Brooke Lerner</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Medical College of Wisconsin, Milwaukee, WI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Wisconsin</region>
</placeName>
<wicri:cityArea>Medical College of Wisconsin, Milwaukee</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Cushman, Jeremy T" sort="Cushman, Jeremy T" uniqKey="Cushman J" first="Jeremy T." last="Cushman">Jeremy T. Cushman</name>
<affiliation wicri:level="2"><nlm:aff id="A2">University of Rochester, Rochester, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>University of Rochester, Rochester</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Blatt, Alan" sort="Blatt, Alan" uniqKey="Blatt A" first="Alan" last="Blatt">Alan Blatt</name>
<affiliation wicri:level="2"><nlm:aff id="A3">CUBRC, Buffalo, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>CUBRC, Buffalo</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Lawrence, Richard" sort="Lawrence, Richard" uniqKey="Lawrence R" first="Richard" last="Lawrence">Richard Lawrence</name>
<affiliation wicri:level="2"><nlm:aff id="A3">CUBRC, Buffalo, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>CUBRC, Buffalo</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Shah, Manish N" sort="Shah, Manish N" uniqKey="Shah M" first="Manish N." last="Shah">Manish N. Shah</name>
<affiliation wicri:level="2"><nlm:aff id="A2">University of Rochester, Rochester, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>University of Rochester, Rochester</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Swor, Robert" sort="Swor, Robert" uniqKey="Swor R" first="Robert" last="Swor">Robert Swor</name>
<affiliation wicri:level="2"><nlm:aff id="A4">William Beaumont Hospital, Royal Oak, MI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Michigan</region>
</placeName>
<wicri:cityArea>William Beaumont Hospital, Royal Oak</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Brasel, Karen" sort="Brasel, Karen" uniqKey="Brasel K" first="Karen" last="Brasel">Karen Brasel</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Medical College of Wisconsin, Milwaukee, WI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Wisconsin</region>
</placeName>
<wicri:cityArea>Medical College of Wisconsin, Milwaukee</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Jurkovich, Gregory J" sort="Jurkovich, Gregory J" uniqKey="Jurkovich G" first="Gregory J." last="Jurkovich">Gregory J. Jurkovich</name>
<affiliation wicri:level="2"><nlm:aff id="A5">Harborview Medical Center, Seattle, WA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Harborview Medical Center, Seattle</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors</title>
<idno type="ISSN">1090-3127</idno>
<idno type="eISSN">1545-0066</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To determine the accuracy of EMS provider assessments of motor vehicle damage, when compared to measurements made by a professional crash reconstructionist.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">EMS providers caring for adult patients injured during a motor vehicle crash and transported to the regional trauma center in a midsized community were interviewed upon ED arrival. The interview collected provider estimates of crash mechanism of injury. For crashes that met a preset severity threshold, the vehicle’s owner was asked to consent to having a crash reconstructionist assess their vehicle. The assessment included measuring intrusion and external auto deformity. Vehicle damage was used to calculate change in velocity. Paired t-test and correlation were used to compare EMS estimates and investigator derived values.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">91 vehicles were enrolled; of these 58 were inspected and 33 were excluded because the vehicle was not accessible. 6 vehicles had multiple patients. Therefore, a total of 68 EMS estimates were compared to the inspection findings. Patients were 46% male, 28% admitted to hospital, and 1% died. Mean EMS estimated deformity was 18” and mean measured was 14”. Mean EMS estimated intrusion was 5” and mean measured was 4”. EMS providers and the reconstructionist had 67% agreement for determination of external auto deformity (kappa 0.26), and 88% agreement for determination of intrusion (kappa 0.27) when the 1999 Field Triage Decision Scheme Criteria were applied. Mean EMS estimated speed prior to the crash was 48 mph±13 and mean reconstructionist estimated change in velocity was 18 mph±12 (correlation -0.45). EMS determined that 19 vehicles had rolled over while the investigator identified 18 (kappa 0.96). In 55 cases EMS and the investigator agreed on seatbelt use, for the remaining 13 cases there was disagreement (5) or the investigator was unable to make a determination (8) (kappa 0.40).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">This study found that EMS providers are good at estimating rollover. Vehicle intrusion, deformity, and seatbelt use appear to be more difficult to estimate with only fair agreement with the crash reconstructionist. As expected, the EMS provider estimated speed prior to the crash does not appear to be a reasonable proxy for change in velocity.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9703530</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21039</journal-id>
<journal-id journal-id-type="nlm-ta">Prehosp Emerg Care</journal-id>
<journal-title-group><journal-title>Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors</journal-title>
</journal-title-group>
<issn pub-type="ppub">1090-3127</issn>
<issn pub-type="epub">1545-0066</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21815732</article-id>
<article-id pub-id-type="pmc">3163749</article-id>
<article-id pub-id-type="doi">10.3109/10903127.2011.598614</article-id>
<article-id pub-id-type="manuscript">NIHMS309160</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>EMS Provider Assessment of Vehicle Damage Compared to a Professional Crash Reconstructionist</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Lerner</surname>
<given-names>E. Brooke</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cushman</surname>
<given-names>Jeremy T.</given-names>
</name>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Blatt</surname>
<given-names>Alan</given-names>
</name>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lawrence</surname>
<given-names>Richard</given-names>
</name>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shah</surname>
<given-names>Manish N.</given-names>
</name>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Swor</surname>
<given-names>Robert</given-names>
</name>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brasel</surname>
<given-names>Karen</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jurkovich</surname>
<given-names>Gregory J.</given-names>
</name>
<xref rid="A5" ref-type="aff">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Medical College of Wisconsin, Milwaukee, WI</aff>
<aff id="A2"><label>2</label>
University of Rochester, Rochester, NY</aff>
<aff id="A3"><label>3</label>
CUBRC, Buffalo, NY</aff>
<aff id="A4"><label>4</label>
William Beaumont Hospital, Royal Oak, MI</aff>
<aff id="A5"><label>5</label>
Harborview Medical Center, Seattle, WA</aff>
<author-notes><corresp id="FN1">Address for Correspondence/reprints: E. Brooke Lerner, Ph.D., Department of Emergency Medicine, Medical College of Wisconsin, 9200 W. Wisconsin Ave,. Milwaukee, WI 53226, Phone: (414) 805-0113, Fax: (414) 805-6464, <email>eblerner@mcw.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>21</day>
<month>7</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>4</day>
<month>8</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><season>Oct-Dec</season>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>10</month>
<year>2012</year>
</pub-date>
<volume>15</volume>
<issue>4</issue>
<fpage>483</fpage>
<lpage>489</lpage>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">To determine the accuracy of EMS provider assessments of motor vehicle damage, when compared to measurements made by a professional crash reconstructionist.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">EMS providers caring for adult patients injured during a motor vehicle crash and transported to the regional trauma center in a midsized community were interviewed upon ED arrival. The interview collected provider estimates of crash mechanism of injury. For crashes that met a preset severity threshold, the vehicle’s owner was asked to consent to having a crash reconstructionist assess their vehicle. The assessment included measuring intrusion and external auto deformity. Vehicle damage was used to calculate change in velocity. Paired t-test and correlation were used to compare EMS estimates and investigator derived values.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">91 vehicles were enrolled; of these 58 were inspected and 33 were excluded because the vehicle was not accessible. 6 vehicles had multiple patients. Therefore, a total of 68 EMS estimates were compared to the inspection findings. Patients were 46% male, 28% admitted to hospital, and 1% died. Mean EMS estimated deformity was 18” and mean measured was 14”. Mean EMS estimated intrusion was 5” and mean measured was 4”. EMS providers and the reconstructionist had 67% agreement for determination of external auto deformity (kappa 0.26), and 88% agreement for determination of intrusion (kappa 0.27) when the 1999 Field Triage Decision Scheme Criteria were applied. Mean EMS estimated speed prior to the crash was 48 mph±13 and mean reconstructionist estimated change in velocity was 18 mph±12 (correlation -0.45). EMS determined that 19 vehicles had rolled over while the investigator identified 18 (kappa 0.96). In 55 cases EMS and the investigator agreed on seatbelt use, for the remaining 13 cases there was disagreement (5) or the investigator was unable to make a determination (8) (kappa 0.40).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">This study found that EMS providers are good at estimating rollover. Vehicle intrusion, deformity, and seatbelt use appear to be more difficult to estimate with only fair agreement with the crash reconstructionist. As expected, the EMS provider estimated speed prior to the crash does not appear to be a reasonable proxy for change in velocity.</p>
</sec>
</abstract>
<kwd-group><kwd>Wounds and Injury</kwd>
<kwd>Triage</kwd>
<kwd>Emergency Medical Services</kwd>
<kwd>Emergency Medical Technicians</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute on Aging : NIA</funding-source>
<award-id>K23 AG028942-04 || AG</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Michigan</li>
<li>Washington (État)</li>
<li>Wisconsin</li>
<li>État de New York</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Wisconsin"><name sortKey="Lerner, E Brooke" sort="Lerner, E Brooke" uniqKey="Lerner E" first="E. Brooke" last="Lerner">E. Brooke Lerner</name>
</region>
<name sortKey="Blatt, Alan" sort="Blatt, Alan" uniqKey="Blatt A" first="Alan" last="Blatt">Alan Blatt</name>
<name sortKey="Brasel, Karen" sort="Brasel, Karen" uniqKey="Brasel K" first="Karen" last="Brasel">Karen Brasel</name>
<name sortKey="Cushman, Jeremy T" sort="Cushman, Jeremy T" uniqKey="Cushman J" first="Jeremy T." last="Cushman">Jeremy T. Cushman</name>
<name sortKey="Jurkovich, Gregory J" sort="Jurkovich, Gregory J" uniqKey="Jurkovich G" first="Gregory J." last="Jurkovich">Gregory J. Jurkovich</name>
<name sortKey="Lawrence, Richard" sort="Lawrence, Richard" uniqKey="Lawrence R" first="Richard" last="Lawrence">Richard Lawrence</name>
<name sortKey="Shah, Manish N" sort="Shah, Manish N" uniqKey="Shah M" first="Manish N." last="Shah">Manish N. Shah</name>
<name sortKey="Swor, Robert" sort="Swor, Robert" uniqKey="Swor R" first="Robert" last="Swor">Robert Swor</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/TelematiV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000365 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 000365 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= TelematiV1 |flux= Pmc |étape= Checkpoint |type= RBID |clé= PMC:3163749 |texte= EMS Provider Assessment of Vehicle Damage Compared to a Professional Crash Reconstructionist }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:21815732" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \ | NlmPubMed2Wicri -a TelematiV1
![]() | This area was generated with Dilib version V0.6.31. | ![]() |