Gabriel Brat (@bratogram) header
Gabriel Brat (@bratogram) profile picture

Trauma surgeon, surgical informatics, and co-founder. Tweets are my own.

Boston, MA
Joined January 2018
Photo by Gabriel Brat (@bratogram)
I won’t poo poo any optimistic sign when the hospital is so full of sick people.
What did I say last Friday about the Boston area peaking? The wastewater data are in, and the news is good. @MWRA_update and @BiobotAnalytics providing solid evidence, that importantly *can't* be put down to exhausted testing capacity or other factors 1/n
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Looking forward to this conversation with friends and colleagues. I’m always ready to evangelize about the bright future of data science in surgery.
SAVE THE DATE! Fri., Feb 4, 2022 Half Day IN-PERSON Meeting in Orlando, FL Panel on Predictive Analytics and Artificial Intelligence in Surgical Care ft @MeguidRob, @ColbornKathryn, @bratogram, @callcura along w/ an update from several talented and accomplished #ZinnerFellows
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To beat COVID-19, we need to collaborate across borders, languages, and different coding systems. Our 4CE consortium of (now) 7 countries just published 1st efforts. Inspiring that >100 scientists/clinicians worked so hard with good will and trust. nature.com/articles/s41746-0…
This is the kind of humanity that supported us during the surge and what we need now. There isn’t a great distance between those who lost their livelihoods and those fighting for their rights. They are all fighting for dignity and they are all our neighbors.
Replying to @SkinnerPm
So this is a basic tactical caring kit (some stuff changes depending on what we have but pretty much it). Socks are key. proteins. Dental care. Feminine hygiene. body wipes. Lotion. Pen/pad. Lip balm. rolled up tarp. Snacks. Deodorant. Fits in a 2 gallon ziplock bag. Then repeat
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Another awesome example of cello meets video chat.
Knight Rider - had quite a few requests for this one and no wonder because it's a total banger
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What is possible when dozens of incredible global researchers sprint for 2 weeks to share aggregate data on nearly 28,000 #COVID19 patients. Visualizations @ covidclinical.net. Not perfect, but we're just getting started.
Great by @zakkohane and colleagues: Consortium for Clinical Characterization of COVID-19 by EHR (4CE). Harmonized data sets analyzed locally and shared as aggregate data for rapid analysis and visualization. Great teamwork. Like @OHDSI. @medrxivpreprint medrxiv.org/content/10.1101/…
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Our paper on 5 considerations for protecting surgical teams in era of #COVID19 @CovidSurg @pan_surg now in @annals_surgery. Complement to @AmCollSurgeons. We present experience/lit for: —> Communication Strategies —> OR Flow —> Surgical PPE —> Lap v Open —> Team Don/Doff 1/
NEW: Protecting Surgical Teams During the COVID-19 Outbreak: A Narrative Review and Clinical Considerations journals.lww.com/annalsofsur… by @bratogram S Hersey @krchhabra @AlokGuptaMD @DrJohnScott @BIDMCSurgery @UMichSurgery @UM_IHPI @BWHSurgery #COVID19surgery #VisualAbstract
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We present sparse lit around some major questions we are asking in our hospitals. Some take-aways for COVID19 surgery: 1. Team safety requires team communication. 2. Treat the OR as contaminated. 3. Surgery makes aerosols so wear N95. 2/
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(1/5) THREAD. Important to share experiences with #COVID19Surgery. A few (6) more thoughts on emergency gen surgeries in suspected #COVID19 patients. See previous thread for overarching themes; surg guides soon to come. @DrJohnScott @AnnalsofSurgery @BehindTheKnife for more.
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(2/5) 1. SET UP AN ANTE ROOM. If possible, isolate space from other traffic for equipment, donning/doffing, OR runner, & bed. Really helps w staff anxiety, flow of other cases, & doffing. 2. PLAN FOR BED. Contaminated bed linen bagged in OR & wiped bed sent to ante room.
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Yes! Many of us are iterating #Covid19 protocols for surgeons that could be shared. A collective surgical memory better protects our patients, trainees, surgeons, and OR staff. @CovidSurg
Hey @CovidSurg & #COVID19Surgery folks, many groups are trying to put together best practices for surgeons/residents who are operating on pts who are COVID-19 positive, or just high risk (but not tested). What are the “best practices” that we can group-source?
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1/8) THREAD. Six take-aways from emergency gen surgery case on pt w concern for COVID-19. Team anxiety & uncertainty so everything more difficult. Plus, lacking protocols for surgeon protection. @AnnalsofSurgery @aneelbhangu @dnepo @DrJohnScott #COVID19 #COVID19Surgery ...
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2/8) 1. HUDDLE FOR PREP. Extensive prep to move ICU pts w COVID-19 to OR. Huddled w ICU attd, nurse, anesthesia, RT, OR staff, enviro svs, security, & infxn ctrl. Hours of coordination (even w protocol in place). If u don't have a protocol in place, prepare one now. ...
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Great kick-off lecture by course director @landmaad. Excited to teach Health IT innovation course at @HarvardDBMI @harvardmed with @GauravSingalMD for the sixth year!
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On the positive side, the ratio of death to coverage for trauma was not the worst.
I’m always amazed by the disconnect between what we see in the news and the reality of the world around us. As my late friend Hans Rosling would say, we must fight the fear instinct that distorts our perspective: b-gat.es/2WvUqqp
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Great article: Choice of fluid type: physiological concepts and perioperative indications.QxMD.com/r/29406… #ReadByQxMD