This observational study compared the value of physician-administered Advanced Life Support (MD-ALS) to Basic Life Support (BLS) in the treatment of penetra1mg trauma in an urban setting. / Patients were identified in Montreal and Quebec City between 1993 to 1997 Prehospital care is provided exclusively by Urgences Sante in Montreal. Patients in Montreal are randomly allocated to either ALS or BLS due to an insufficient number of MD-ALS units. The south shore of Montreal and Quebec City are serviced by a separate emergency medical system (EMS) which provides only BLS. / Differences were not statistically significant in terms of age and ISS between treatment groups. Mortality, when examined using both the Intent to Treat and Efficacy approaches, did not differ between ALS and BLS patients. Prehospital treatment type was not a significant predictor of mortality, or length of hospital stay. Patients treated by MD-ALS required home-care services more often than BLS patients once discharged, and spent significantly more time at the injury scene.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.20948 |
| Date | January 1998 |
| Creators | Benoit, Paul Daniel. |
| Contributors | Sampalis, John (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Department of Epidemiology and Biostatistics.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001631047, proquestno: MQ50721, Theses scanned by UMI/ProQuest. |
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