Andrew Steel

Andrew Steel is a Consultant Physician in Critical Care Medicine and Anesthesiology at Toronto General Hospital. He is appointed as an Assistant Professor in the Department of Anesthesia and the Interdepartmental Division of Critical Care Medicine, Faculty of Medicine, University of Toronto.

Andrew graduated from the Medical College of St. Bartholomew’s Hospital, University of London, UK and completed residency training in both General Internal Medicine and Anesthesiology in London, UK. In 2007, after finishing his Intensive Care training, he moved to Canada for a Clinical Fellowship in Critical Care Medicine at the University Health Network (UHN) and Mount Sinai Hospitals, Toronto. He then completed fellowship training in Cardiothoracic Anesthesia and was appointed to the Department of Anesthesia and Interdepartmental Division of Critical Care as an Attending Staff in June 2009.

Andrew’s principle clinical commitment is in Critical Care – attending in the Medical-Surgical ICU and the Cardiovascular ICU at Toronto General Hospital. In 2009 he was appointed Medical Director of the Critical Care Response Team, and Fellowship Director and Education Lead for Critical Care at the University Health Network.

The University of Toronto Interdepartmental Division of Critical Care Medicine has one of the largest and most successful education programs in the World. Each year it recruits more than 60 residents and fellows to the combined residency and clinical fellowship training. In January 2015 Andrew was appointed as Program Director of the Royal College Residency and Clinical Fellowship Programs for the, University of Toronto.

Recent Publications

1. Doherty M, Steel AC, Ferguson N.  Chapter 15: Mechanical Ventilation for Acute Respiratory Distress Syndrome.In An Evidence Based Practice of Critical Care, 2nd Edition. (Series editor Lee A. Fleisher), edited by Clifford S. Deutschman and Patrick Neligan. 2015 Saunders, Philadelphia
2. Downar J, Rodin D, Barua R, Lejnieks B, Gudimella R, McCredie V, Hayes C, and Steel A. Changes in End of Life Care 5 years after the Introduction of a Rapid Response Team: A multicentre retrospective study. Resuscitation. 2013 Oct; 84(10): 1339-44.
3. Galvin IM, Steel A, Pinto R, Ferguson ND, Davies MW. Partial liquid ventilation for preventing death and morbidity in adults with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev. 2013 Jul 23; 7: CD003707
4. Russell T, Steel AC, Hawryluck L, Riazi S. Ecstacy-induced delayed rhabdomyolysis and neuroleptic malignant syndrome in a patient with a positive malignant hyperthermia genetic test. Anaesthesia. 2012; 67(9): 1021-4.
5. Adeniji K, Steel AC. Pathophysiology of Acute Lung Injury. Anesthesiol Clin. 2012; 30(4): 573-90.
6. Downar J, Rodin D, Barua R, Lejnieks B, Gudimella R, McCredie V, Hayes C, and Steel AC. Rapid Response Teams, Do Not Resuscitate Orders, and Missed Opportunities to Improve End-of-Life Care: A Multicentre Retrospective Study. J Crit Care. 2013 Aug; 28(4): 498-503.
7. Beattie WS, Karkouti K, Tait G, Steel A, Yip P, McCluskey S, Farkouh M, Wijeysundera DN. Use of clinically based troponin underestimates the cardiac injury in non-cardiac surgery: a single-centre cohort study in 51,701 consecutive patients. Can J Anesth. 2012; 59:1013–1022.
8. Carli F, Kehlet H, Baldini G, Steel AC, McRae K, Slinger P. Evidence basis for regional anesthesia in multidisciplinary fast-track surgical care pathways. Regional Anesthesia and Pain Medicine. 2011; 36: 63-72.
9. Haas B, Gomez D, Steel AC, Nathens A. Ratio of units of red blood cells to fresh frozen plasma for severely injured patients undergoing massive transfusion (Protocol). Cochrane Database of Systematic Reviews. 2011, Issue 3. Art. No.: CD009033. DOI: 10.1002/14651858.CD009033.
10. Steel AC, Reynolds SF. The growth of rapid response systems. Joint Commission Journal of Quality and Patient Safety. 2008. 34:489-495.

Appointments

Program Director, Adult Critical Care Medicine Residency and Clinical Fellowships, Interdepartmental Division of Critical Care Medicine, University of Toronto, 2014 – Present
Lead Clinician, Critical Care Response Team, Toronto General Hospital, 2009-Present
Staff Intensivist, Medical-Surgical ICU and Cardiovascular ICU, University Health Network and Mount Sinai Hospital, 2009 – present
Staff Anesthesiologist, Toronto General Hospital, 2009 – present

Honours and Awards

Name: Critical Care Medicine Teaching Award, Toronto General Hospital, Interdepartmental Division of Critical Care Medicine, University of Toronto
Description:

2015

Name: Undergraduate Medicine Teaching Award, Wightman-Berris Academy, Faculty of Medicine, University of Toronto
Description:

2011

Name: Critical Care Medicine Teaching Award, Toronto General Hospital, Interdepartmental Division of Critical Care Medicine, University of Toronto
Description:

2010

Name: Research Methodology 1st prize, Imperial School of Anaesthesia, London, UK
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2005

Name: Honours Colours, St. Bartholomew's Hospital Medical College, London, UK
Description:

1996

Courses

Course Number: Program Chair, Greater Toronto Area Rapid Response Systems Symposium
Course Name: Toronto 2015
Course Number: Director, Royal College Residency and Clinical Fellowship, Interdepartmental Division of Critical Care Medicine
Course Name: University of Toronto 2015-date
Course Number: Director, Rapid Response Teams – Leadership Masterclass, Critical Care Canada Forum
Course Name: Toronto 2014
Course Number: Program Chair, 2nd University Health Network and Mount Sinai Rapid Response Systems Symposium
Course Name: Toronto 2014
Course Number: Co-Director, Management skills in intensive care – Advanced Training Course in Intensive Care (ATCIC), ESICM
Course Name: Berlin 2011
Course Number: Program Chair, 1st University Health Network Rapid Response Systems Symposium
Course Name: Toronto 2010
Course Number: Director, Academic Anaesthesia, FRCA Examination Viva Courses
Course Name: London 2005-08