Ian Stiell, MD, MSc, FRCPC

istiell@ohri.ca

OHRI Chair of Emergency Medicine Research

Senior Scientist, Clinical Epidemiology, Ottawa Hospital Research Institute

Professor and Chair, Department of Emergency Medicine, University of Ottawa

University Health Research Chair, University of Ottawa

Member, School of Graduate Studies and Research, University of Ottawa

Active Staff, Department of Emergency Medicine, Ottawa Hospital

Honours and Awards

Distinguished Professor, University of Ottawa, 2007

Faculty Mentoring Award, Faculty of Medicine, University of Ottawa, 2005

Senior Investigator Award, Society for Academic Emergency Medicine, 2005

Distinguished Investigator, Canadian Institutes of Health Research, 2006
http://www.cihr-irsc.gc.ca/services/databases/distinguished_scientists/2006/index_e.shtml

Member Institute of Medicine, National Academy of Sciences, 2000
http://www.iom.edu/

Order of the International Federation for Emergency Medicine, 2004

Dr. J. David Grimes Research Career Achievement Award, Ottawa Hospital Research Institute, 2002
http://www.ohri.ca/corporate/10292002.asp

Hal Jayne Academic Achievement Award, Society for Academic Emergency Medicine, 2000
http://www.saem.org/

Visiting Professorship in Medical Research, Royal College of Physicians and Surgeons of Canada, 2002
http://rcpsc.medical.org

WG Smith Memorial Lectureship, Sir Charles Gairdner Hospital, Perth Australia, 2001
http://www.scgh.health.wa.gov.au/

Faculty Award of Excellence, Faculty of Medicine, University of Ottawa, 1996
http://www.medicine.uottawa.ca/eng/

Research Interests

Emergency Medicine

Clinical Decision Rules

Cardiac Arrest

Prehospital Resuscitation

Emergency Medicine Research Fellowship

Major Research Activities

Dr. Stiell is a clinical epidemiologist with a focus on health services research in emergency medicine. This research focus includes decision making, clinical decision rules, technology assessment and clinical trials involving acutely ill and injured patients treated by prehospital services and in emergency departments. Dr. Stiell currently holds a Canadian Institutes of Health Research Scientist Award. Previously completed were a series of studies to derive, validate, test and implement clinical decision rules for the use of radiography in acute ankle injuries (The Ottawa Ankle Rules), and for the use of radiography in acute knee injury (The Ottawa Knee Rule). Ongoing are studies to derive and validate clinical decision rules for the use of computed tomography in minor head injuries and cervical spine radiography in trauma (The CCC Study funded by the CIHR and the Ministry of Health of Ontario). Dr. Stiell is a member of the University of Ottawa CIHR Group Grant for Decision Support Tools.

Also currently ongoing is the Ontario Prehospital Advanced Life Support (OPALS) Study (funded by the Ontario Ministry of Health) which will identify the most effective programs for treating out-of-hospital cardiac arrest, major trauma, respiratory distress, and chest pain. The OPALS Study will be conducted over eight years in 21 Ontario communities. A grant from the Canadian Health Services Research Foundation will allow the OPALS Study team to conduct an economic evaluation of prehospital care.

Another important focus of research for Dr. Stiell has been the management of cardiac arrest, particularly in the pre-hospital setting. Completed projects include the study of high dose epinephrine, a cost-effectiveness study of different pre-hospital systems used to treat cardiac arrest, a trial of 1,700 patients comparing the effectiveness of standard CPR versus ACD CPR, and a trial to compare vasopressin to epinephrine for in-hospital cardiac arrest.

PUBLICATIONS IN REFEREED JOURNALS (Total = 214)

Most Important Publications

Stiell IG, Clement CM, Grimshaw J, Brison R, Rowe BH, Schull MJ, Lee J, Brehaut J, McKnight D, Eisenhauer MA, Dreyer J, Letovsky E, Rutledge T, MacPhail I, Ross S, Perry JJ, Holroyd BR, Ip U, Lesiuk H, Wells GA. Implementation of the Canadian C-Spine Rule: A Prospective 12-Centre Cluster Randomized Trial. British Medical Journal 2009. BMJ. 2009 Oct 29;339:b4146

Stiell IG, Nesbitt LP, Pickett W, Munkley D, Spaite DW, Banek J, Field B, Luinstra-Toohey L, Maloney J, Dreyer J, Lyver M, Campeau T, Wells GA, for the OPALS Study Group. The OPALS Major Trauma Study: impact of advanced life support on survival and morbidity. Can Med Assoc J 2008;178:1141-1152.

Stiell IG, Spaite DW, Field B, Nesbitt LP, Munkley D, Maloney J, Dreyer J, Luinstra-Toohey L, Campeau T, Dagnone E, Lyver M, Wells GA, for the OPALS Study Group. Advanced Life Support for Out-of-Hospital Respiratory Distress. New Engl J Med 2007;356:2156-2164.

Stiell IG, Walker RG, Nesbitt LP, Chapman FW, Cousineau D, Christenson J, Bradford P, Sookram S, Berringer R, Lank P, Wells GA. BIPHASIC Trial: A Randomized Comparison of Fixed Lower Versus Escalating Higher Energy Levels for Defibrillation in Out-of-Hospital Cardiac Arrest. Circulation 2007; 115:1511-1517.

Peer-Reviewed Principal Investigator:

Ontario Stroke Network 2010-2011.
Evaluation of the Implementation of the Revised Acute Stroke Medical Redirect Paramedic Protocol (ASMRPP) in Urban and Rural Settings of Eastern Ontario

Heart and Stroke Foundation Ontario 2010-2013.
A Prospective Evaluation of the Outcomes and Quality of Life of Emergency Department Patients with Recent-Onset Atrial Fibrillation and Flutter (RAFF).

Heart and Stroke Foundation of Canada 2010-2015
Resuscitation Outcomes Consortium (ROC) Renewal Initiative

National Institutes of Health 2010-2015
Resuscitation Outcomes Consortium (ROC) Regional Clinical Centre-Ottawa-OPALS-BC.

Canadian Institutes of Health Research 2008-2010
Evaluation of the safety of C-Spine Clearance by Emergency Department Triage Nurses (Phase IV).

Canadian Institutes of Health Research 2007-2010
A study to develop clinical decision rules for the hospital admission of patients with acute dyspnea

Peer-Reviewed Co-Investigator:

Canadian Institutes of Health Research. Planning meeting for the PRECISE Phase III Resuscitation Trial 2009- 2010.
Principal Investigator: Laura-Lyn McIntyre

Physician Services Incorporated Foundation 2010-2012
A Study to Derive a Clinical Decision Rule for Predicting Serious Outcomes in Emergency Department Syncope Patients occurring within 30-days after Discharge from the Emergency Department - Phase 1 Derivation:
Principal Investigator: Dr. Venkatesh Thiruganasambandamoorthy

Heart and Stroke Foundation of Ontario, Pilot Project Grant: 2008-2010
A Survey of Factors Associated with the Successful Recognition of Agonal Breathing and Cardiac Arrest by 9-1-1 Call Takers
Principal Investigator - Dr. Christian Vaillancourt

Heart and Stroke Foundation of Canada, Resuscitation and Knowledge Transfer: 2007-2009
A Survey of Attitudes and Factors Associated with Successful CPR Knowledge Transfer in an Older Population Most Likely to Witness Cardiac Arrest
Principal Investigator - Dr. Christian Vaillancourt

Canadian Institutes of Health Research: 2007-2011 Phase I: Clinical decision rule for high risk TIA patients in the ED
Principal Investigator - Dr. Jeff Perry

Canadian Institutes of Health Research: 2007-2010
Effectiveness of dispatch-assisted CPR instructions: An evaluation of 9-1-1 calls
Principal Investigator - Dr. Christian Vaillancourt

Canadian Institutes of Health Research: 2007-2010
PERIL: Paramedics and elders at risk for Independence loss. A study to derive a prediction tool using paramedic observations to assess elders' home environments for risks of adverse outcomes
Principal Investigator - Dr. Jacques Lee