Schwartz/Reisman Emergency Medicine Institute

SREMI Researcher Profile

Keerat GrewalDr. Keerat Grewal joined SREMI as a research fellow and emergency physician in July 2018. She is also a fellow with the Cancer Program at the Institute for Clinical Evaluative Sciences (ICES). While completing her emergency medicine residency training at the University of Toronto, Dr. Grewal earned a Master’s of Science in Clinical Epidemiology and Health Services Research at the Institute for Health Policy, Management and Evaluation. During this time, she was enrolled in the Eliot Phillipson Clinician Scientist Training Program through the Department of Medicine and the Clinical Investigator Program at the University of Toronto. 

Dr. Grewal is a health services researcher who uses provincial administrative data to examine outcomes among patients presenting to the emergency department. One of Dr. Grewal’s areas of interest is the care of patients with cancer in the emergency department. The Canadian Cancer Society estimates that almost 1 in 2 Canadians will develop cancer during their lifetime. Previous literature has shown that patients with cancer use the emergency department frequently. However, the intersection of oncology and emergency medicine is rarely addressed in the literature. During Dr. Grewal’s fellowship, she will continue to use ICES data to understand why patients with cancer use the emergency department and explore outcomes in this population so that we can ultimately improve emergency care for oncology patients. 

Another area of emerging research focus for Dr. Grewal is the risk of intracranial hemorrhage (ICH) following a head injury for elderly patients on anticoagulation. At present, there are no published guidelines on the management of elderly patients on anticoagulation after a minor head injury. Dr. Grewal will be leading a health services study to provide a unique Canadian perspective using population-based data on the care provided to elderly anticoagulated patients with a head injury in the ED. More importantly, she hopes to compare outcomes between patients using different types of anticoagulants and provide clinicians with guidance on management of these patients based on outcomes.  

Keerat Grewal