0000000000937204
AUTHOR
Domenico Minniti
Multicentre observational study on practice of prehospital management of hypotensive trauma patients: the SPITFIRE study protocol
IntroductionMajor haemorrhage after injury is the leading cause of preventable death for trauma patients. Recent advancements in trauma care suggest damage control resuscitation (DCR) should start in the prehospital phase following major trauma. In Italy, Helicopter Emergency Medical Services (HEMS) assist the most complex injuries and deliver the most advanced interventions including DCR. The effect size of DCR delivered prehospitally on survival remains however unclear.Methods and analysisThis is an investigator-initiated, large, national, prospective, observational cohort study aiming to recruit >500 patients in haemorrhagic shock after major trauma. We aim at describing the current p…
Role of Halide Ion in the Mechanism of Protonolysis of the Pt-C Bond in Pt(II) Alkyl and Aryl Complexes.
Abstract A mechanistic study is described for the electrophilic cleavage of the Pt C σ bond in complexes cis -[PtPh 2 (PEtPh 2 ) 2 ] and trans -[PtXR(PEt 3 ) 2 ] (X = Cl and Br, R = Me, Et, n-Pr, n-Bu, CH 2 Ph) by the proton in the presence of halide ions in aqueous methanol (MeOH/H 2 O, 91v/v) which yields cis -[PtClPh(PEtPh 2 ) 2 ] and trans -[PtX 2 (PEt 3 ) 2 ], respectively. The reactions are first-order in substrate for both systems and the general bivariate rate law k obs = [H + ]{ k H + k x K [[X − ]}/(1 + K [[X − ]) is obeyed. The proposed mechanism involves a fast pre-equilibrium formation (K) of a platinum(II) anionic intermediate via interaction of the halide with the square-plan…