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 OttawaUniversity 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, 2006http://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
Cardiac Arrest
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
