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Stuart Brigham, MD, DABIM, CNA, BSc, High Sch grad Profile picture
Stuart Brigham, MD, DABIM, CNA, BSc, High Sch grad
@BrighamSK
#Christian, #Autistic, Father, #PCMH Physician leader, @thecurbsiders cohost. #FOAMed #MedTwitter. Changing healthcare. Tweets my own. Sarcastic often
Mar 10, 2022 • 12 tweets • 7 min read
Briefly, @walterlekh and others in the #OSINT community. Question about usage of #nerve agents (more likely than blister or irritant) and how to protect oneself. Carbon filters are essentially the best barriers available on the ground (car air filters for example).

🧵 #Organophosphate poisoning is punctuated by “excessive parasympathetic” nerve tone - think the “rest and digest” but in overdrive. This causes excessive salivation, bronchoconstriction (wheezing), lacrimation (tearful), airway secretions, flushing, diarrhea, vomiting, …
Mar 28, 2020 • 25 tweets • 22 min read
Well, @TheCurbsiders, it’s been over a week since I’ve posted here… but it seems like it’s been mere days. #COVID19 has not necessarily overwhelmed our hospital system, but has absorbed our lives.

Resources will be included in this "Tweetorial"

covid19toolbox.com Our colleages at @SCCM has put out some excellent resources for treating #COVID19 patients. I've asked all our staff to review the modules at:

sccm.org/Disaster/COVID…
Jul 6, 2019 • 8 tweets • 7 min read
Well @TheCurbsiders, thought I forgot about following up on this tweet?! Well, I did. I'm on the inpatient Hospitalist Service. Nevertheless, let's go down this rabid hole together... So the question remains - what is the best pharmacologic intervention to reduce post-operative VTE after orthopedic surgery. A prior EBM presentation that I routinely give compares Apixaban vs Enoxaparin which finds that the NNT to prevent one major VTE of 166.
Apr 7, 2019 • 11 tweets • 5 min read
Effective teamwork, like relationships, isn’t defined by the absence of conflict; if fact, without conflict, there can be no authentic growth. No, these are defined by the ability to resolve conflict, allowing divergent positions to mature into something greater. @thecurbsiders Similarly, you will constantly find yourself in conflict, both internal and external, when dealing with, among other things, your patients and colleagues.
Mar 28, 2019 • 15 tweets • 3 min read
Standing up a Hospitalist Group:

(a) Disposition is key; need dedicated case managers

(b) Need to alter APP/MD schedule to prevent burnout after just one week.

(c) Need better transition tools than historical sign outs.

(d) Relationship with consultants is pivotal. You make friends by just taking over as primary and learn from colleagues.

(e) Admit when you’re wrong.

(f) Round with the nurses, maybe at the nurse station, and include them. Teach them.

(g) Don’t be afraid to hug a patient, especially when you are their only family…
Mar 14, 2019 • 12 tweets • 7 min read
What is the most effective way to treat nocturnal cough, post-URI cough, or related to post-nasal drip? @thecurbsiders @ShreyaTrivediMD @cjchiu @medrants @InduPartha @aoglasser @ETSshow @meggerber @HannahRAbrams @cacace_frank Answer will be given in 8-hours in a new tweetorial! Yay!