Conrad Groenewald

815 posts

Conrad Groenewald banner
Conrad Groenewald

Conrad Groenewald

@congroen

Emergency Physician and EDIC Intensivist. I get excited about acid-base and quoting randoms. If I didn't say endorse, I didn't. “Don’t be a doos.” - SA proverb

Johannesburg, South Africa Katılım Ağustos 2013
214 Takip Edilen483 Takipçiler
Faezeh Godazgar
Faezeh Godazgar@GodazgarFaezeh·
First Anaesthetic Conference in the longest time made enjoyable by this wonderful bunch! #RAUK23
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Karim Alber
Karim Alber@kfalber·
#FFICM Done. Nearly 20 years of constant exams finally come to an end!
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Conrad Groenewald
Conrad Groenewald@congroen·
@PulmCrit I continue to be confused why we can’t understand acid base better and break all this dogma.
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
I continue to be confused about why we can't #BeTheKidney more often - and give bicarbonate to intubated asthmatics to accelerate renal compensation. the kidney will eventually do this for us, but it takes time (1/2)... #alkalinization" target="_blank" rel="nofollow noopener">emcrit.org/ibcc/asthma/#a
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media
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Mayo Clinic Infectious Diseases
Mayo Clinic Infectious Diseases@MayoClinicINFD·
Weekend Digest Name the Pathogen Five Clues: 1. Gram-negative bacillus 2. Genomovars 3. Cystic fibrosis 4. Multi-drug resistant pathogen 5. Poor outcome after lung transplantation
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Aoife Abbey
Aoife Abbey@WhistlingDixie4·
Reading a book by @junesarpong that discusses point that ‘men don’t see women as role models’ I have lots of male role models - never really considered whether men in medicine have female professional role models Thoughts? Honest ones…not just what you think you should say…
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John Pavlovitz
John Pavlovitz@johnpavlovitz·
What song do you want played at your funeral?
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Conrad Groenewald
Conrad Groenewald@congroen·
@CLWillis0 Awww shucks. Now y’all making me blush. ;) Back in the motherland for over a year now. Oxford was great though!
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Charlotte Willis
Charlotte Willis@CLWillis0·
@congroen Was fortunate to learn from the best a few years ago 😁 still remember you supervising my lines/demonstrating echos! Are you still in the UK?
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Charlotte Willis
Charlotte Willis@CLWillis0·
GIC spot secured 🤞🏼🤞🏼🤞🏼
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Conrad Groenewald
Conrad Groenewald@congroen·
@srrezaie Been using it for a while. Especially if a “hard diuresis phase” is needed for the very overloaded subtype. Keeps your chloride and acid-base in better balance.
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Conrad Groenewald
Conrad Groenewald@congroen·
@nicholson_katy @rosieICM I remember from Varsity reading about this in our Biochem textbook. I will never forget (and still badly quote) “We’re here because urea”
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Conrad Groenewald
Conrad Groenewald@congroen·
@PulmCrit If you use only dobutamine when your pt has a degree of myocardial suppresion from sepsis and neglect the vasoplegia…
GIF
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
👇 agree… I *know* this isn’t backed up by high-level evidence, but I’ve found dobutamine to be disappointing in septic shock epinephrine seems more useful in sepsis, especially for brady/⬇️EF/normolactic patients who aren’t making their own epi 😛 emcrit.org/pulmcrit/epi/
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media
ANDROMEDA-SHOCK@AndromedaShock

Very nice article from Armand Mekontso-Dessap and three ICUs in the Paris area! More data challenging dobutamine use in septic shock. In my humble opinion it should be used only in limited situations, after en echo to rule out phenotypes where it may be harmful, and as a test!

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Natasha
Natasha@nat_echo·
How many focus echo trainees (FUSIC ect) do you think it is reasonable to mentor at any one time? I’ve got a good balance of level 2 trainees. But I don’t usually have >1 request at any one time for FUSIC trainees. But I have now have what I think may be too many?!
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Daniel Gould, MD, PhD
Daniel Gould, MD, PhD@DJGould94·
Chemists who publish negative findings should call those papers publianions instead of publications
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