Publications by authors named "Duncan T Ritchie"

Armed crime constitutes a significant number of offences in England. The associated healthcare burden forms 32% of the workload of London HEMS, requiring these clinicians to use body armour. Much research has explored the ergonomic impact of body armour in police and military populations however the impact on prehospital clinicians is not known.

View Article and Find Full Text PDF

Euglycaemic diabetic ketoacidosis is a serious but rare adverse effect of treatment with sodium-glucose cotransporter-2 (SGLT-2) inhibitors. A man in his 60s with type 2 diabetes mellitus underwent total hip replacement for an intracapsular neck of femur fracture. His SGLT-2 inhibitor was continued perioperatively and blood glucose levels were normal throughout the admission.

View Article and Find Full Text PDF

Background: Major hemorrhage is a significant cause of mortality and morbidity around the world. There is currently no consensus on the best empirical transfusion strategy. The current National Institute for Clinical Excellence (NICE) guidelines suggest a ratio of 1:1 of red blood cells and plasma.

View Article and Find Full Text PDF
Article Synopsis
  • Screened detected colorectal cancer (CRC) patients have better survival rates than those diagnosed with symptoms, likely due to earlier detection and generally younger patient demographics.
  • This study analyzed CRC cases from NHS Grampian, focusing on patients aged 51-75 from 2007 to 2017, examining factors like screening status, age, and tumor characteristics that impact survival rates.
  • Results showed that screened patients had a higher 1-year and 5-year survival rate compared to symptomatic patients, suggesting the need for further research into the differences between these groups.
View Article and Find Full Text PDF

Background: Outcomes in locally advanced rectal cancer are improved by neoadjuvant therapy followed by surgical resection. Some patients respond completely to preoperative treatment. Therefore, predicting the pathological response to preoperative therapy is of clinical importance.

View Article and Find Full Text PDF