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TALK OF THE TOWN IS… THE FIGHT IS BETWEEN RED BULL / FORD AND MERCEDES… CAN FERRARI AFFORD TO MISS THE BOAT AGAIN?… BUT WAIT…WITH ADRIAN NEWEY IN CHARGE ISN'T ASTON MARTIN THE FAVORITE? ABSOLUTELY NO FAN FARE FOR RENAULT'S DEPARTURE FROM F1 ...SHAMEFUL…….AND…FERNANDO ALONSO EXPECTS TO SKIP ALL THE CRAP AND GO RIGHT TO THE TOP! THIS WEEK'S NASIR HAMEED CORNER…MORE VINTAGE BANTER BETWEEN THE HOST AND NASIR…THIS WEEK WE HAVE RICHARD DUTTON OF FORTEC MOTORSPORT. For over 30 years Fortec Motorsport have been one of the leading lights in single seater racing, both at home and in Europe, helping develop young drivers such as Charles Leclerc, Daniel Ricciardo and Juan Pablo Montoya into future F1 stars. Under the guidance Richard (and his son Oliver), over the past three decades the team have established a proven track record of success in the junior formulas. It is owned by former racing driver Richard Dutton, who started working for the team in 1993 before buying the outfit two years later. It began racing in Formula 3000 and has grown to become one of the biggest single-seater race teams in Europe. The Daventry-based squad has vast experience in competing in Formula Renault 3.5, plus Eurocup Formula Renault 2.0, FIA European Formula 3 Championship, F4 British Championship, GB3 Championship, and GB4 Championship. Since 2016 it has regularly won races in Britain's top single-seater categories and challenged for titles, while also propelling Tom Gamble and Johnathan Hoggard to the Aston Martin Autosport BRDC Young Driver of the Year Award. Fortec Motorsports driver profile consists of many strong names and the team prides themselves on maintaining a great relationship with their drivers. The team's most recent F1 graduates are Oliver Bearman, who made his Scuderia Ferrari debut in the 2024 Saudi Arabian Grand Prix, and Luke Browning, who is a member of the Williams Driver Academy. With a strong pedigree in motorsport and consistent success in developing talented young racing drivers, Fortec Motorsports remains a top choice for young drivers wishing to further their motorsport career. The team takes great pride in preparing all of its drivers both mentally and physically for the demands of top-level motorsport and, as they grow and develop as part of the team, are able to rise through the ranks with ease.
Drs. Richard Dutton, Ryan Keneally and Michael Mazzeffi discuss the article “In Vitro Analysis of Platelet Adhesion, Aggregation, and Surface GP1bα Expression in Stored Refrigerated Whole Blood: A Pilot Study” published in the May 2023 issue of Anesthesia & Analgesia.
Drs. Richard Dutton and Matthew Barajas discuss the article “Peripheral Intravenous Waveform Analysis Responsiveness to Subclinical Hemorrhage in a Rat Model” published in the May 2023 issue of Anesthesia & Analgesia.
Data protection, legal compliance and respect for member's privacy are all critical topics for loyalty marketing professionals. Whether it's GDPR or other global regulations, the privacy challenges we face today are escalating in to the "perfect storm". So how can we ensure we're professional, prepared and protected as much as possible? This short summary show explains the factors to consider, as well as the idea of a "Data Health Check", a service offer by Richard Dutton, Managing Director of the Elias Partnership, which can help your company prevent and defend against the costs of a data breach, should one ever occur. Show Notes: 1) Richard Dutton 2) Elias Partnership
Drs. Richard Dutton, Roman Dudaryk and Evan Pivalizza discuss the article “Pro-Con Debate: Prehospital Blood Transfusion— Should It Be Adopted for Civilian Trauma?” published in the April 2022 issue of Anesthesia & Analgesia.
Drs. Richard Dutton, Kevin Blaine and Roman Dudaryk discuss the article “Pro-Con Debate: Viscoelastic Hemostatic Assays Should Replace Fixed Ratio Massive Transfusion Protocols in Trauma” published in the January 2022 issue of Anesthesia & Analgesia.
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Richard Dutton, M.D., M.B.A., Chief Quality Officer US Anesthesia Partners.
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk's lead presenter, Monty Mythen TopMedTalk's Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest, Richard Dutton, M.D., M.B.A., Chief Quality Officer US Anesthesia Partners.
Three years after the introduction of tighter data regulations & GDPR in Europe, the world of data protection and privacy is only getting more complex. In fact, my guest today described the privacy challenges we face today as a "perfect storm". From changing cookie laws, to complex data transfers, to the latest class action law suits being brought on behalf of professional footballers, there is now doubt that the tectonic plates in our industry are shifting. So how can we ensure we're professional, prepared and protected as much as possible? While we continue to cope with COVID, our industry is facing rapid changes, such as the increasing use of facial recognition technology & biometrics, so listen to learn all about the approach you can take to ensure "custom privacy protection by design, which will endure by default". Richard Dutton, Managing Director of the Elias Partnership joins me on today's show to explain the concept of a "Data Health Check", what it does, how it helps and how your company can ensure a legally defensible position should a data breach ever occur. Show Notes: 1) Richard Dutton 2) Elias Partnership
We take it for granted that Shakespeare's theater was similar to ours, when in fact, the experience of stepping inside The Globe or other Elizabethan playhouses was quite different for Shakespeare than for us today. To take us behind the curtain and explore the inside of The Globe theater, Richard Dutton is our guide today, helping explore the sights, sounds, and smells inside a real Elizabethan theater. Richard Dutton is a specialist in the theater of William Shakespeare, having written twenty nine books in all about Shakespeare, Ben Jonson, and other early modern dramatists as well. He joins us today to take a look inside some of the unexpected theater conventions that were normal for Shakespeare, and might be surprising for us today. In this episode, I’ll be asking Richard about : What were the sights and sounds someone experienced upon entering The Globe? Shakespeare's plays reference a prayer to the Queen at the end of a production--why did they pray? Philip Henslowe is cited as having side jobs related to theater. In the business of theater, would all theater owners capitalize on their options for income this way? What about snacks? Did they have popcorn at the theater? ...and more!
"This used to be merely intuition...even a minute or two at low MAPs may be too much and certainly waiting 20 minutes for pharmacy to send up a drip is probably way too long...and your kidneys may actually be getting damaged in that short period of time." - Scott Weingart, MD Who is Scott Weingart, MD? Courtesy of Scott Weingart, MD Scott D. Weingart, MD FCCM FUCEM DipHTFU Scott is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is currently an attending in and chief of the Division of Emergency Critical Care at Stony Brook Hospital. He is a clinical associate professor of emergency medicine at Stony Brook Medicine and an adjunct associate professor at the Icahn School of Medicine at Mount Sinai. He is best known for talking to himself about Resuscitation and Critical Care on a podcast called EMCrit, which has been downloaded > 19 million times. EMCrit Twitter Team @emcrit What is a MAP? (Mean Arterial Pressure) Average pressure in a patient’s arteries during one cardiac cycle Really good number to measure organ perfusion Systolic BP is a useless measurement in super hypotensive patients Calculations: MAP = CO x SVR MAP = SBP + 2(DBP)/3 Low MAPs should be treated as an Emergency = Requires Good Nursing!! What is a minimal MAP for adequate perfusion? No one knows!! Minimal MAPs (what we think and have made up) to adequately perfuse 3 main organs. Use this as a loose guideline. May have to individualize for each patient. Brain MAP 60-65 but can go lower for a bit of time before damage MAP 40 starts to have altered mental status Heart MAP 60-65 Kidney MAP 65 super sensitive to low MAPs May not be able to measure output in ED if kidneys were hit hard and due to shunting In the ED, we like MAP 65... because the organs will have minimal perfusion and we often don't know what the medical history is or have had 24 hours of patient observation. Normal MAP + Low SBP + Normal DBP = Okay Organs are being perfused Low MAP + Normal SBP + Low DBP (Ex: 100/20) = Badness Can be in cardiac arrest if you don't pay attention and do something ASAP Low MAP, How long is too long? New Anesthesia literature that shows a minute or two may be too much. Concern for kidney injury Hearts may dislike low MAP esp. Pts with cardiac history. React quickly to low MAPs (MAP 40s and 50s) No barrier to treating low MAPs No Harm in treating low MAPs Can start peripheral NE drip and if in 45 minutes, NE drip is titrated off - no harm done to Pt Wait and See approach with fluids doesn't work Fluids don't last to maintain MAPs, it will drop 30-60 minutes later Harm to keep Pt at low MAPs "Permissive Hypotension" A confusing term No one is really in a permissive hypotension state lower than the minimal MAP 65 Trauma A confusing term because the trauma studies still show that a Pt is being perfused and hovering around MAP 60-65 Term came about because fluids were restricted instead of giving bunch of fluids - but BPs were normal Some say the clot is formed so don't break the clot - still BPs are at MAPs that we talked about Bickell study on penetrating trauma Scott mentioned Permissive hypotension/hypotensive resuscitation and restricted/controlled resuscitation in patients with severe trauma by D. Kudo Rick Dutton Approach for penetrating trauma management as described by Scott Keep your patient from being vasoconstricted Organs are not being perfused with higher MAP but in fact exsanguinating due to vasoconstriction Manage by hovering around a MAP 60-65 and perfuse organs MAP 80 (or whatever upper limit you decide), give them some anesthetic and dilate them. Fentanyl is an indirect vasodilator Read more about Richard Dutton and trauma at emcrit.org Hemostatic Resuscitation Hemorrhagic Shock Patient in Trauma Neuro - term doesn't really apply
Dr. Richard Dutton of the ASA's Quality Institute will be speaking at the upcoming SAM meeting in Seattle, Washington. I spoke to Richard about the goals of the airway management quality reporting effort
Quality in Anesthesia; Transfusion in Trauma
Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation.
This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD.
Richard Dutton, English Department Chair and Humanities Distinguished Professor of English, Ohio State University, and Richard Harp, English Department Chair, UNLV.