Skip to main content
Top
Published in: BMC Emergency Medicine 1/2023

Open Access 01-12-2023 | Research

Emergency department-based injury surveillance information system: a conceptual model

Authors: Nader Mirani, Haleh Ayatollahi, Davoud Khorasani-Zavareh, Kimia Zeraatkar

Published in: BMC Emergency Medicine | Issue 1/2023

Login to get access

Abstract

Background

Injury data play a pivotal role in monitoring public health issues and Injury Surveillance Information Systems (ISIS) are useful for continuous data collection and analysis purposes. Since emergency department (ED) is usually the first place of referral for the injured people, the aim of this study was to develop a conceptual model for an ED-based ISIS.

Methods

This study was completed in 2020 and the Delphi technique (three rounds) was used to determine the main components of an ED-based ISIS. The participants were selected using the purposive sampling method. A 5-point Likert scale questionnaire was used for data collection and data were analyzed using descriptive statistics.

Results

In the first, second, and third rounds of the Delphi study, 60, 44, and 28 experts participated, respectively. In the first and second rounds, most of the items including the personal data, clinical data, data sources, and system functions were found important. In the third round of the Delphi study, 13 items which did not reach a consensus in the previous rounds were questioned again and five items were removed from the final model.

Conclusion

According to the findings, various data elements and functions could be considered for designing an ED-based ISIS and a number of data sources should be taken into count to be integrated with this system. Although the conceptual model presented in the present study can facilitate designing the actual system, the final system needs to be implemented and used in practice to determine how it can meet users’ requirements.
Appendix
Available only for authorised users
Literature
2.
go back to reference Weiss AJ, Reid LD, Barrett ML. Overview of emergency department visits related to injuries, by cause of injury. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. 2017 [cited 12 Mar 2023] Rockville (MD): Agency for Healthcare Research and Quality (US). Statistical Brief #266. Available at: https://www.ncbi.nlm.nih.gov/books/NBK565798/. Weiss AJ, Reid LD, Barrett ML. Overview of emergency department visits related to injuries, by cause of injury. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. 2017 [cited 12 Mar 2023] Rockville (MD): Agency for Healthcare Research and Quality (US). Statistical Brief #266. Available at: https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK565798/​.
3.
go back to reference Cancho EJB, Sánchez CA, García AR, Romero JL, López PV, Pardillo RM. Management and serious risk factors associated with unintentional injuries in paediatric emergencies in Spain. Anales de Pediatría (English Edition). 2020;92(3):132–40.CrossRef Cancho EJB, Sánchez CA, García AR, Romero JL, López PV, Pardillo RM. Management and serious risk factors associated with unintentional injuries in paediatric emergencies in Spain. Anales de Pediatría (English Edition). 2020;92(3):132–40.CrossRef
4.
go back to reference Heagerty R, Sharma J, Cayton J, Goodwin N. Retrospective analysis of four-year injury data from the Infantry Training Centre, Catterick. BMJ Military Health. 2018;164:35–40. Heagerty R, Sharma J, Cayton J, Goodwin N. Retrospective analysis of four-year injury data from the Infantry Training Centre, Catterick. BMJ Military Health. 2018;164:35–40.
5.
go back to reference Wolkin A, Law R. 37 Applying data science to improve timeliness of injury data analysis and visualization. Inj Prev. 2022;28:A4. Wolkin A, Law R. 37 Applying data science to improve timeliness of injury data analysis and visualization. Inj Prev. 2022;28:A4.
6.
go back to reference Fitzharris M, Yu J, Hammond N, Taylor C, Wu Y, Finfer S, et al. Injury in China: a systematic review of injury surveillance studies conducted in chinese hospital emergency departments. BMC Emerg Med. 2011;11(1):18.PubMedPubMedCentralCrossRef Fitzharris M, Yu J, Hammond N, Taylor C, Wu Y, Finfer S, et al. Injury in China: a systematic review of injury surveillance studies conducted in chinese hospital emergency departments. BMC Emerg Med. 2011;11(1):18.PubMedPubMedCentralCrossRef
7.
go back to reference Brubacher JR, Shih Y, Weng JT, Verma R, Evans D, Grafstein E. Low-impact strategy for capturing better emergency department injury surveillance data. Inj Prev. 2019;25(6):507–13.PubMedCrossRef Brubacher JR, Shih Y, Weng JT, Verma R, Evans D, Grafstein E. Low-impact strategy for capturing better emergency department injury surveillance data. Inj Prev. 2019;25(6):507–13.PubMedCrossRef
8.
go back to reference Ekegren CL, Donaldson A, Gabbe BJ, Finch CF, et al. Implementing injury surveillance systems alongside injury prevention programs: evaluation of an online surveillance system in a community setting. Inj Epidemiol. 2014;1:19.PubMedPubMedCentralCrossRef Ekegren CL, Donaldson A, Gabbe BJ, Finch CF, et al. Implementing injury surveillance systems alongside injury prevention programs: evaluation of an online surveillance system in a community setting. Inj Epidemiol. 2014;1:19.PubMedPubMedCentralCrossRef
9.
go back to reference Rahman MH, Allen KA, Hyder AA. Descriptive epidemiology of injury cases: findings from a pilot injury surveillance system in Abu Dhabi. Int J Inj Contr Saf Promot. 2016;23(2):214–23.PubMedCrossRef Rahman MH, Allen KA, Hyder AA. Descriptive epidemiology of injury cases: findings from a pilot injury surveillance system in Abu Dhabi. Int J Inj Contr Saf Promot. 2016;23(2):214–23.PubMedCrossRef
10.
go back to reference Holder Y, Peden M, Krug E, Lund J, Gururaj G. O kobusingye. Injury surveillance guidelines. Geneva: World Health Organization; 2001. Holder Y, Peden M, Krug E, Lund J, Gururaj G. O kobusingye. Injury surveillance guidelines. Geneva: World Health Organization; 2001.
11.
go back to reference Liu X, Li L, Cui H, Jackson V. Evaluation of an emergency department-based injury surveillance project in China using WHO guidelines. Inj Prev. 2009;15(2):105–10.PubMedCrossRef Liu X, Li L, Cui H, Jackson V. Evaluation of an emergency department-based injury surveillance project in China using WHO guidelines. Inj Prev. 2009;15(2):105–10.PubMedCrossRef
12.
go back to reference Santijiarakul S, Santikarn C, Chowdhury MS, Abeykoon P, Sein T, Ogawa H. Profile of injury surveillance systems in the member states of the asia-pacific region. India: World Health Organization, New Delhi,; 2012. Santijiarakul S, Santikarn C, Chowdhury MS, Abeykoon P, Sein T, Ogawa H. Profile of injury surveillance systems in the member states of the asia-pacific region. India: World Health Organization, New Delhi,; 2012.
13.
go back to reference Lyons RA, Turner S, Lyons J, Walters A, Snooks HA, Greenacre J, et al. All Wales Injury Surveillance System revised: development of a population-based system to evaluate single-level and multilevel interventions. Inj Pre. 2016;22(Suppl 1):i50–i5.CrossRef Lyons RA, Turner S, Lyons J, Walters A, Snooks HA, Greenacre J, et al. All Wales Injury Surveillance System revised: development of a population-based system to evaluate single-level and multilevel interventions. Inj Pre. 2016;22(Suppl 1):i50–i5.CrossRef
14.
go back to reference Magnus D, Bhatta S, Mytton J, Joshi E, Bird EL, Bhatta S, et al. Establishing injury surveillance in emergency departments in Nepal: protocol for mixed methods prospective study. BMC Health Serv Res. 2020;20:433.PubMedPubMedCentralCrossRef Magnus D, Bhatta S, Mytton J, Joshi E, Bird EL, Bhatta S, et al. Establishing injury surveillance in emergency departments in Nepal: protocol for mixed methods prospective study. BMC Health Serv Res. 2020;20:433.PubMedPubMedCentralCrossRef
15.
go back to reference Brussoni M, Olsen LL, Joshi P. Aboriginal community-centered injury surveillance: a community-based participatory process evaluation. Prev Sci. 2012;13:107–17.PubMedCrossRef Brussoni M, Olsen LL, Joshi P. Aboriginal community-centered injury surveillance: a community-based participatory process evaluation. Prev Sci. 2012;13:107–17.PubMedCrossRef
16.
go back to reference Yeomans C, Kenny IC, Cahalan R, Warrington GD, Harrison AJ, Hayes K, et al. The design, development, implementation and evaluation of IRISweb; a rugby-specific web-based injury surveillance system. Phys Ther Sport. 2019;35:79–88.PubMedCrossRef Yeomans C, Kenny IC, Cahalan R, Warrington GD, Harrison AJ, Hayes K, et al. The design, development, implementation and evaluation of IRISweb; a rugby-specific web-based injury surveillance system. Phys Ther Sport. 2019;35:79–88.PubMedCrossRef
17.
go back to reference Nittayasoot N, Peterson AB, Thammawijaya P, Parker EM, Sathawornwiwat A, Boonthanapat N, et al. Evaluation of a hospital-based injury surveillance system for monitoring road traffic deaths in Phuket, Thailand. Traffic Inj Prev. 2019;20(4):365–71.PubMedPubMedCentralCrossRef Nittayasoot N, Peterson AB, Thammawijaya P, Parker EM, Sathawornwiwat A, Boonthanapat N, et al. Evaluation of a hospital-based injury surveillance system for monitoring road traffic deaths in Phuket, Thailand. Traffic Inj Prev. 2019;20(4):365–71.PubMedPubMedCentralCrossRef
18.
go back to reference Lakshmi P, Tripathy JP, Tripathy N, Singh S, Bhatia D, Jagnoor J, et al. A pilot study of a hospital-based injury surveillance system in a secondary level district hospital in India: lessons learnt and way ahead. Inj Epidemiol. 2016;3(1):24.PubMedPubMedCentralCrossRef Lakshmi P, Tripathy JP, Tripathy N, Singh S, Bhatia D, Jagnoor J, et al. A pilot study of a hospital-based injury surveillance system in a secondary level district hospital in India: lessons learnt and way ahead. Inj Epidemiol. 2016;3(1):24.PubMedPubMedCentralCrossRef
19.
go back to reference Jagnoor J, Ponnaiah M, Varghese M, Ivers R, Kumar R, Prinja Sh. Potential for establishing an injury surveillance system in India: a review of data sources and reporting systems. BMC Public Health. 2020;20:1909.PubMedPubMedCentralCrossRef Jagnoor J, Ponnaiah M, Varghese M, Ivers R, Kumar R, Prinja Sh. Potential for establishing an injury surveillance system in India: a review of data sources and reporting systems. BMC Public Health. 2020;20:1909.PubMedPubMedCentralCrossRef
20.
go back to reference Jacoby SF, Mercer Kollar LM, Ridgeway G, Sumner SA. Health system and law enforcement synergies for injury surveillance, control and prevention: a scoping review. Inj Prev. 2018;24(4):305–11.PubMedCrossRef Jacoby SF, Mercer Kollar LM, Ridgeway G, Sumner SA. Health system and law enforcement synergies for injury surveillance, control and prevention: a scoping review. Inj Prev. 2018;24(4):305–11.PubMedCrossRef
21.
go back to reference Bahadori M, Nasiripur A, Tofighi S, Gohari M. Emergency medical services in Iran: an overview. Australas Med J. 2010;3(6):335–9.CrossRef Bahadori M, Nasiripur A, Tofighi S, Gohari M. Emergency medical services in Iran: an overview. Australas Med J. 2010;3(6):335–9.CrossRef
22.
23.
go back to reference Mashoufi M, Ayatollahi H, Khorasani-Zavareh D. Data quality assessment in emergency medical services: what are the data stakeholders’ perspectives? Perspect Health Inform Manage. 2019;16(Winter):1c. Mashoufi M, Ayatollahi H, Khorasani-Zavareh D. Data quality assessment in emergency medical services: what are the data stakeholders’ perspectives? Perspect Health Inform Manage. 2019;16(Winter):1c.
24.
go back to reference Ayatollahi H, Bath PA, Goodacre S. Information needs of clinicians and non-clinicians in the emergency department: a qualitative study. Health Info Libr J. 2013;30(3):191–200.PubMedCrossRef Ayatollahi H, Bath PA, Goodacre S. Information needs of clinicians and non-clinicians in the emergency department: a qualitative study. Health Info Libr J. 2013;30(3):191–200.PubMedCrossRef
25.
go back to reference Ayatollahi H, Bath PA, Goodacre S. Accessibility versus confidentiality of information in the emergency department. Emerg Med J. 2009;26(12):857–60.PubMedCrossRef Ayatollahi H, Bath PA, Goodacre S. Accessibility versus confidentiality of information in the emergency department. Emerg Med J. 2009;26(12):857–60.PubMedCrossRef
26.
go back to reference Mashoufi M, Ayatollahi H, Khorasani-Zavareh D, Talebi Azad Boni T. Data quality assessment in emergency medical services: an objective approach. BMC Emerg Med. 2023;23(10). Mashoufi M, Ayatollahi H, Khorasani-Zavareh D, Talebi Azad Boni T. Data quality assessment in emergency medical services: an objective approach. BMC Emerg Med. 2023;23(10).
27.
go back to reference Mirani N, Ayatollahi H, Khorasani-Zavareh D. Injury surveillance information system: a review of the system requirements. Chin J Traumatol. 2020;23(3):168–75.PubMedPubMedCentralCrossRef Mirani N, Ayatollahi H, Khorasani-Zavareh D. Injury surveillance information system: a review of the system requirements. Chin J Traumatol. 2020;23(3):168–75.PubMedPubMedCentralCrossRef
28.
go back to reference Saad R, Jaffar H, El Setouhy M, Hirshon JM. Evaluation of the national injury surveillance system in Egypt. Inj Prev. 2010;16(Suppl 1):A56–A69.CrossRef Saad R, Jaffar H, El Setouhy M, Hirshon JM. Evaluation of the national injury surveillance system in Egypt. Inj Prev. 2010;16(Suppl 1):A56–A69.CrossRef
29.
go back to reference Puvanachandra P, Hoe C, El-Sayed H, Saad R, Al-Gasseer N, Bakr M, et al. Road traffic injuries and data systems in Egypt: addressing the challenges. Traffic Inj Prev. 2012;13(sup1):44–56.PubMedCrossRef Puvanachandra P, Hoe C, El-Sayed H, Saad R, Al-Gasseer N, Bakr M, et al. Road traffic injuries and data systems in Egypt: addressing the challenges. Traffic Inj Prev. 2012;13(sup1):44–56.PubMedCrossRef
30.
go back to reference Coronado VG, Haileyesus T, Cheng TA, Bell JM, Haarbauer-Krupa J, Lionbarger MR, Flores-Herrera J, McGuire LC, Gilchrist J. Trends in Sports- and recreation-related traumatic brain injuries treated in US Emergency Departments: the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) 2001–2012. J Head Trauma Rehabil. 2015;30(3):185–97.PubMedPubMedCentralCrossRef Coronado VG, Haileyesus T, Cheng TA, Bell JM, Haarbauer-Krupa J, Lionbarger MR, Flores-Herrera J, McGuire LC, Gilchrist J. Trends in Sports- and recreation-related traumatic brain injuries treated in US Emergency Departments: the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) 2001–2012. J Head Trauma Rehabil. 2015;30(3):185–97.PubMedPubMedCentralCrossRef
31.
go back to reference Crain J, McFaull S, Thompson W, Skinner R, Do MT, Fréchette M, et al. Status report - the Canadian Hospitals Injury Reporting and Prevention Program: a dynamic and innovative injury surveillance system. Health Promot Chronic Dis Prev Can. 2016;36(6):112–7.PubMedPubMedCentralCrossRef Crain J, McFaull S, Thompson W, Skinner R, Do MT, Fréchette M, et al. Status report - the Canadian Hospitals Injury Reporting and Prevention Program: a dynamic and innovative injury surveillance system. Health Promot Chronic Dis Prev Can. 2016;36(6):112–7.PubMedPubMedCentralCrossRef
32.
go back to reference Azadi T, Khorasani-Zavareh D, Sadoughi F. Barriers and facilitators of implementing child injury surveillance system. Chin J Traumatol. 2019;22(4):228–32.PubMedPubMedCentralCrossRef Azadi T, Khorasani-Zavareh D, Sadoughi F. Barriers and facilitators of implementing child injury surveillance system. Chin J Traumatol. 2019;22(4):228–32.PubMedPubMedCentralCrossRef
33.
go back to reference Chow C, Leung M, Lai A, Chow Y, Chung J, Tong K, et al. Development of an electronic emergency department-based geo-information injury surveillance system in Hong Kong. Inj. 2012;43(6):739–48. Chow C, Leung M, Lai A, Chow Y, Chung J, Tong K, et al. Development of an electronic emergency department-based geo-information injury surveillance system in Hong Kong. Inj. 2012;43(6):739–48.
34.
go back to reference Hussain A, Al-Anzy F. National injuries surveillance system in Saudi Arabia. Ministry of Health, Injuries and Accidents Prevention Program. Saudi Arabia: Riyadh; 2011. Hussain A, Al-Anzy F. National injuries surveillance system in Saudi Arabia. Ministry of Health, Injuries and Accidents Prevention Program. Saudi Arabia: Riyadh; 2011.
36.
go back to reference Mir MU, Bachani AM, Khawaja H, Afridi SQ, Ali S, Khan MM, et al. The Pakistan National Emergency Department surveillance study (Pak-NEDS): introducing a pilot surveillance. BMC Emerg Med. 2015;15(Suppl 2):1–S2.CrossRef Mir MU, Bachani AM, Khawaja H, Afridi SQ, Ali S, Khan MM, et al. The Pakistan National Emergency Department surveillance study (Pak-NEDS): introducing a pilot surveillance. BMC Emerg Med. 2015;15(Suppl 2):1–S2.CrossRef
37.
go back to reference Akbari H, Mahdian M, Motalebi M, Asgarian FS, Kashani MM. Epidemiology, incidence, and trend of injuries in Iran: a national study. Arch Trauma Res. 2022;11:113–7.CrossRef Akbari H, Mahdian M, Motalebi M, Asgarian FS, Kashani MM. Epidemiology, incidence, and trend of injuries in Iran: a national study. Arch Trauma Res. 2022;11:113–7.CrossRef
38.
go back to reference Sharifian S, Jazani RK, Sadeghi-Bazargani H, Khorasani-Zavareh D. Challenges of establishing a road traffic injury surveillance system: a qualitative study in a middle-income country. J Inj Violence Res. 2019;11(2):179–88.PubMedPubMedCentral Sharifian S, Jazani RK, Sadeghi-Bazargani H, Khorasani-Zavareh D. Challenges of establishing a road traffic injury surveillance system: a qualitative study in a middle-income country. J Inj Violence Res. 2019;11(2):179–88.PubMedPubMedCentral
40.
go back to reference Goodarzi Z, Abbasi E, Farhadian H. Achieving consensus deal with methodological issues in the Delphi technique. Int J Agricultural Manage Dev. 2018;8(2):219–30. Goodarzi Z, Abbasi E, Farhadian H. Achieving consensus deal with methodological issues in the Delphi technique. Int J Agricultural Manage Dev. 2018;8(2):219–30.
41.
go back to reference Wainiqolo I, Kafoa B, McCaig E, Kool B, McIntyre R, Ameratunga S. Development and piloting of the Fiji injury surveillance in hospitals system. Inj. 2013;44(1):126–31. Wainiqolo I, Kafoa B, McCaig E, Kool B, McIntyre R, Ameratunga S. Development and piloting of the Fiji injury surveillance in hospitals system. Inj. 2013;44(1):126–31.
42.
go back to reference Quigg Z, Hughes K, Bellis MA. Data sharing for prevention: a case study in the development of a comprehensive emergency department injury surveillance system and its use in preventing violence and alcohol-related harms. Inj Prev. 2012;18(5):315–20.PubMedCrossRef Quigg Z, Hughes K, Bellis MA. Data sharing for prevention: a case study in the development of a comprehensive emergency department injury surveillance system and its use in preventing violence and alcohol-related harms. Inj Prev. 2012;18(5):315–20.PubMedCrossRef
43.
go back to reference Scott E, Hirabayashi L, Luschen K, Krupa N, Jenkins P. Ensuring data quality and maximizing efficiency in coding agricultural and forestry injuries: Lessons to improve occupational injury surveillance. J Safe Res. 2022;83:323–8.CrossRef Scott E, Hirabayashi L, Luschen K, Krupa N, Jenkins P. Ensuring data quality and maximizing efficiency in coding agricultural and forestry injuries: Lessons to improve occupational injury surveillance. J Safe Res. 2022;83:323–8.CrossRef
44.
go back to reference Dinh MM, Russell SB, Bein KJ, Vallmuur K, Muscatello D, Chalkley D, et al. Age-related trends in injury and injury severity presenting to emergency departments in New South Wales Australia: implications for major injury surveillance and trauma systems. Injury. 2017;48(1):171–6.PubMedCrossRef Dinh MM, Russell SB, Bein KJ, Vallmuur K, Muscatello D, Chalkley D, et al. Age-related trends in injury and injury severity presenting to emergency departments in New South Wales Australia: implications for major injury surveillance and trauma systems. Injury. 2017;48(1):171–6.PubMedCrossRef
45.
go back to reference Ramroop S, Turner MC, Bynoe R, Garner MJ, Clarke R, Krewski D, et al. Injury surveillance in Trinidad: an accident and emergency based injury surveillance system at the San Fernando General Hospital. West Indian Med J. 2009;58(2):118–23.PubMed Ramroop S, Turner MC, Bynoe R, Garner MJ, Clarke R, Krewski D, et al. Injury surveillance in Trinidad: an accident and emergency based injury surveillance system at the San Fernando General Hospital. West Indian Med J. 2009;58(2):118–23.PubMed
46.
go back to reference Duan L, Deng X, Wang Y, Wu C, Jiang W, He S, et al. The National injury surveillance system in China: a six-year review. Inj. 2015;46(4):572–9. Duan L, Deng X, Wang Y, Wu C, Jiang W, He S, et al. The National injury surveillance system in China: a six-year review. Inj. 2015;46(4):572–9.
47.
go back to reference Martinez R, Ordunez P, Soliz PN, Ballesteros MF. Data visualisation in surveillance for injury prevention and control: conceptual bases and case studies. Inj Prev. 2016;22(Suppl 1):i27–i33.PubMedCrossRef Martinez R, Ordunez P, Soliz PN, Ballesteros MF. Data visualisation in surveillance for injury prevention and control: conceptual bases and case studies. Inj Prev. 2016;22(Suppl 1):i27–i33.PubMedCrossRef
48.
go back to reference Pike I, Smith J, Al-Hajj S, Fuselli P, Macpherson A. The canadian atlas of child and youth injury: mobilizing injury surveillance data to launch a national knowledge translation tool. Int J Environ Res Public Health. 2017;14(9):982.PubMedPubMedCentralCrossRef Pike I, Smith J, Al-Hajj S, Fuselli P, Macpherson A. The canadian atlas of child and youth injury: mobilizing injury surveillance data to launch a national knowledge translation tool. Int J Environ Res Public Health. 2017;14(9):982.PubMedPubMedCentralCrossRef
49.
go back to reference Al-Hajj S, Pike I, Riecke B, Fisher B, editors. Visual analytics for public health: supporting knowledge construction and decision-making. 46th Hawaii International Conference on System Sciences. Wailea; 2013. p. 2416–23. Al-Hajj S, Pike I, Riecke B, Fisher B, editors. Visual analytics for public health: supporting knowledge construction and decision-making. 46th Hawaii International Conference on System Sciences. Wailea; 2013. p. 2416–23.
50.
go back to reference Kipsaina C, Ozanne-Smith J, Routley V. The WHO injury surveillance guidelines: a systematic review of the non-fatal guidelines’ utilization, efficacy and effectiveness. Public Health. 2015;129(10):1406–28.PubMedCrossRef Kipsaina C, Ozanne-Smith J, Routley V. The WHO injury surveillance guidelines: a systematic review of the non-fatal guidelines’ utilization, efficacy and effectiveness. Public Health. 2015;129(10):1406–28.PubMedCrossRef
Metadata
Title
Emergency department-based injury surveillance information system: a conceptual model
Authors
Nader Mirani
Haleh Ayatollahi
Davoud Khorasani-Zavareh
Kimia Zeraatkar
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2023
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-023-00831-9

Other articles of this Issue 1/2023

BMC Emergency Medicine 1/2023 Go to the issue