Transitioning From Anesthesia to Emergency Medicine for Airway Management in Rural Trauma Patients.

Introduction: When our rural trauma center first became certified in 1986, the Emergency Department (ED) was a mix of board-certified Emergency Medicine (EM) and Family Medicine trained physicians each with various degrees of airway experience. Therefore, Anesthesia providers had provided airway management during trauma activations for decades. Recently, our institution saw dramatic growth in the ED which is now staffed by board certified EM physicians and complemented by an EM residency program.

Stability, electronic properties and CO adsorption properties of bimetallic PtAg/Pt(111) surfaces.

Aiming at a better fundamental understanding of the chemistry of bimetallic PtAg/Pt(111) surfaces, we have investigated the stability, electronic properties and CO adsorption properties of bimetallic PtAg surfaces, including pseudomorphic Ag film covered Pt(111) surfaces and PtAg/Pt(111) monolayer surface alloys, using periodic density functional theory calculations. The data provide detailed insights into the relative stabilities of different surface configurations, as indicated by their formation enthalpies and surface energies, and changes in their electronic properties, , in the projected local densities of states and shifts in the d-band center. The adsorption properties of different Pt ensembles were systematically tested using CO as a probe molecule.

Unveiling the CO Oxidation Mechanism over a Molecularly Defined Copper Single-Atom Catalyst Supported on a Metal-Organic Framework.

Elucidating the reaction mechanism in heterogeneous catalysis is critically important for catalyst development, yet remains challenging because of the often unclear nature of the active sites. Using a molecularly defined copper single-atom catalyst supported by a UiO-66 metal-organic framework (Cu/UiO-66) allows a detailed mechanistic elucidation of the CO oxidation reaction. Based on a combination of in situ/operando spectroscopies, kinetic measurements including kinetic isotope effects, and density-functional-theory-based calculations, we identified the active site, reaction intermediates, and transition states of the dominant reaction cycle as well as the changes in oxidation/spin state during reaction.

Icosahedral gold nanoparticles decorated with hexon protein: a surrogate for adenovirus serotype 5.

The development of synthetic particles that emulate real viruses in size, shape, and chemical composition is vital to the development of imprinted polymer-based sorbent materials (molecularly imprinted polymers, MIPs). In this study, we address surrogates for adenovirus type 5 (Adv 5) via the synthesis and subsequent modification of icosahedral gold nanoparticles (iAuNPs) decorated with the most abundant protein of the Adv 5 (i.e.

A Carbon Nanodot Based Near-Infrared Photosensitizer with a Protein-Ruthenium Shell for Low-Power Photodynamic Applications.

Near-infrared (NIR) light-activated photosensitization represents an encouraging therapeutic method in photodynamic therapy, especially for deep tissue penetration. In this context, two-photon activation, i.e.

Reversible Growth of Gold Nanoparticles in the Low-Temperature Water-Gas Shift Reaction.

Supported gold nanoparticles are widely studied catalysts and are among the most active known for the low-temperature water-gas shift reaction, which is essential in fuel and energy applications, but their practical application has been limited by their poor thermal stability. The catalysts deactivate on-stream via the growth of small Au nanoparticles. Using operando X-ray absorption and in situ scanning transmission electron microscopy, we report direct evidence that this process can be reversed by carrying out a facile oxidative treatment, which redisperses the gold nanoparticles and restores catalytic activity.

Resolving the structure of VO·HO and Mo-substituted VO·HO.

Vanadate compounds, such as VO·HO, are of high interest due to their versatile applications as electrode material for metal-ion batteries. In particular, VO·HO can insert different ions such as Li, Na, K, Mg and Zn. In that case, well resolved crystal structure data, such as crystal unit-cell parameters and atom positions, are needed in order to determine the structural information of the inserted ions in the VO·HO structure.

Enhanced Electrochemical Capacity of Spherical Co-Free Li Mn Ni O Particles after a Water and Acid Treatment and its Influence on the Initial Gas Evolution Behavior.

Li-rich layered oxides (LRLO) with specific energies beyond 900 Wh kg are one promising class of high-energy cathode materials. Their high Mn-content allows reducing both costs and the environmental footprint. In this work, Co-free Li Mn Ni O was investigated.

Zinc-Ion Hybrid Supercapacitors Employing Acetate-Based Water-in-Salt Electrolytes.

Halide-free, water-in-salt electrolytes (WiSEs) composed of potassium acetate (KAc) and zinc acetate (ZnAc ) are investigated as electrolytes in zinc-ion hybrid supercapacitors (ZHSs). Molecular dynamics simulations demonstrate that water molecules are mostly non-interacting with each other in the highly concentrated WiSEs, while "bulk-like water" regions are present in the dilute electrolyte. Among the various concentrated electrolytes investigated, the 30 m KAc and 1 m ZnAc electrolyte (30K1Zn) grants the best performance in terms of reversibility and stability of Zn plating/stripping while the less concentrated electrolyte cannot suppress corrosion of Zn and hydrogen evolution.

Impact of the Transition Metal Dopant in Zinc Oxide Lithium-Ion Anodes on the Solid Electrolyte Interphase Formation.

Conversion/alloying materials (CAMs) provide substantially higher specific capacities than graphite, the state-of-the-art lithium-ion battery anode material. The ability to host much more lithium per unit weight and volume is, however, accompanied by significant volume changes, which challenges the realization of a stable solid electrolyte interphase (SEI). Herein, the comprehensive characterization of the composition and evolution of the SEI on transition metal (TM) doped zinc oxide as CAM model compound, is reported, with a particular focus on the impact of the TM dopant (Fe or Co).

Low-temperature nucleation and growth of Zn on Au(111) and thermal stability toward (surface) alloy formation.

As part of an extensive study of the interaction between Zn and Au in Zn/Au(111) model systems, we have systematically investigated the low-temperature (LT) nucleation and growth behavior of Zn on the Au(111) surface as well as the thermal stability of the resulting structures toward sintering, intermixing, and dissolution by scanning tunneling microscopy (STM) and x-ray photoelectron spectroscopy (XPS). Zn deposition at LT, at 105 K (STM) or 80 K (XPS), leads to nucleation and two-dimensional growth of Zn islands mainly at the elbows of the Au(111) herringbone reconstruction, with a slight preference for island formation at pinched-in (pi) rather than bulged-out (bu) elbows. Local surface intermixing during LT Zn deposition leads to local perturbations of the Au(111) herringbone reconstruction, which results in the formation of additional nucleation sites (edge sites).

Pt nanocluster size effects in the hydrogen evolution reaction: approaching the theoretical maximum activity.

Hydrogen production from electrocatalytic water splitting in electrolyzers is a key process to store excess electric energy produced from intermittent renewable energy sources. For proton exchange membrane (PEM) electrolyzers, carbon supported platinum particles exhibit the highest rates for the hydrogen evolution reaction (HER); however, high Pt costs limit the wide spread use of this technology. By employing a graphene layer grown on a Ru(0001) single crystal as a template for Pt nanocluster (NC) growth, we studied the dependence of the HER activity on the NC size using NCs of different sizes.

Rechargeable Calcium-Sulfur Batteries Enabled by an Efficient Borate-Based Electrolyte.

Rechargeable metal-sulfur batteries show great promise for energy storage applications because of their potentially high energy and low cost. The multivalent-metal based electrochemical system exhibits the particular advantage of the feasibility of dendrite-free metal anode. Calcium (Ca) represents a promising anode material owing to the low reductive potential, high capacity, and abundant natural resources.

Raising the CO Methanation Activity of a Ru/γ-Al O Catalyst by Activated Modification of Metal-Support Interactions.

Ru/Al O is a highly stable, but less active catalyst for methanation reactions. Herein we report an effective approach to significantly improve its performance in the methanation of CO /H mixtures. Highly active and stable Ru/γ-Al O catalysts were prepared by high-temperature treatment in the reductive reaction gas.

Impact of Surface Chemistry and Doping Concentrations on Biofunctionalization of GaN/Ga‒In‒N Quantum Wells.

The development of sensitive biosensors, such as gallium nitride (GaN)-based quantum wells, transistors, etc., often makes it necessary to functionalize GaN surfaces with small molecules or even biomolecules, such as proteins. As a first step in surface functionalization, we have investigated silane adsorption, as well as the formation of very thin silane layers.

Influence of Additives on the Reversible Oxygen Reduction Reaction/Oxygen Evolution Reaction in the Mg -Containing Ionic Liquid N-Butyl-N-Methylpyrrolidinium Bis(Trifluoromethanesulfonyl)imide.

The influence of different additives on the oxygen reduction reaction/oxygen evolution reaction (ORR/OER) in magnesium-containing N-butyl-N-methylpyrrolidinium bis(trifluoromethanesulfonyl)imide ([BMP][TFSI]) on a glassy carbon electrode was investigated to gain a better understanding of the electrochemical processes in Mg-air batteries. 18-Crown-6 was used as a complexing agent for Mg ions to hinder the passivation caused by their reaction with ORR products such as superoxide and peroxide anions. Furthermore, borane dimethylamine complex (NBH) was used as a potential water-removing agent to inhibit electrode passivation by reacting with trace impurities of water.

Adlayer growth vs spontaneous (near-) surface alloy formation: Zn growth on Au(111).

As part of an extensive effort to explore the function of Au/ZnO catalysts in the synthesis of methanol from CO and H, we have systematically investigated the temperature dependent growth, structure formation, and surface intermixing of Zn on the herringbone reconstructed Au(111) surface and the thermal stability of the resulting surfaces by scanning tunneling microscopy (STM) and x-ray photoelectron spectroscopy (XPS). After Zn deposition at low temperatures, at about 105 K (STM) or below (XPS), we observed nucleation and two-dimensional growth of Zn islands mainly at the elbow sites of the Au(111) herringbone reconstruction. This results in local perturbations of the reconstruction pattern of the Au(111) substrate, which can create additional nucleation sites.

Oxygen Reduction and Evolution on Ni-modified Co O (1 1 1) Cathodes for Zn-Air Batteries: A Combined Surface Science and Electrochemical Model Study.

The performance of structurally and chemically well-defined Ni-free and Ni-modified single-crystalline Co O (1 1 1) thin-film electrodes in the oxygen reduction and evolution reactions (ORR and OER) was investigated in a combined surface science and electrochemistry approach. Pure and Ni-modified Co O (1 1 1) film electrodes were prepared and characterized under ultrahigh-vacuum conditions by scanning tunneling microscopy and X-ray photoelectron spectroscopy. Both Ni decoration (by post-deposition of Ni) and Ni doping (by simultaneous vapor deposition of Ni, Co, and O ) induced distinct differences in the base cyclic voltammograms in 0.

Surface Science and Electrochemical Model Studies on the Interaction of Graphite and Li-Containing Ionic Liquids.

The process of solid-electrolyte interphase (SEI) formation is systematically investigated along with its chemical composition on carbon electrodes in an ionic liquid-based, Li-containing electrolyte in a combined surface science and electrochemical model study using highly oriented pyrolytic graphite (HOPG) and binder-free graphite powder electrodes (Mage) as model systems. The chemical decomposition process is explored by deposition of Li on a pre-deposited multilayer film of 1-butyl-1-methylpyrrolidinium bis(trifluoromethylsulfonyl)imide ([BMP][TFSI]) under ultrahigh vacuum conditions. Electrochemical SEI formation is induced by and monitored during potential cycling in [BMP][TFSI]+0.

Synthesis of amorphous and graphitized porous nitrogen-doped carbon spheres as oxygen reduction reaction catalysts.

Amorphous and graphitized nitrogen-doped (N-doped) carbon spheres are investigated as structurally well-defined model systems to gain a deeper understanding of the relationship between synthesis, structure, and their activity in the oxygen reduction reaction (ORR). N-doped carbon spheres were synthesized by hydrothermal treatment of a glucose solution yielding carbon spheres with sizes of 330 ± 50 nm, followed by nitrogen doping via heat treatment in ammonia atmosphere. The influence of a) varying the nitrogen doping temperature (550-1000 °C) and b) of a catalytic graphitization prior to nitrogen doping on the carbon sphere morphology, structure, elemental composition, N bonding configuration as well as porosity is investigated in detail.

Highly Reversible Sodiation of Tin in Glyme Electrolytes: The Critical Role of the Solid Electrolyte Interphase and Its Formation Mechanism.

Utilization of high-capacity alloying anodes is a promising yet extremely challenging strategy in building high energy density alkali-ion batteries (AIBs). Excitingly, it was very recently found that the (de-)sodiation of tin (Sn) can be a highly reversible process in specific glyme electrolytes, enabling high specific capacities close to the theoretical value of 847 mA h g. The unique solid electrolyte interphase (SEI) formed on Sn electrodes, which allows highly reversible sodiation regardless of the huge volume expansion, is herein demonstrated according to a series of in situ and ex situ characterization techniques.

Selective Modification and Probing of the Electrocatalytic Activity of Step Sites.

Employing Pt(111) supported 2D Pt-core Au-shell model catalysts, we demonstrate that 2D core-shell surfaces prepared under ultrahigh vacuum (UHV) conditions constitute excellent model systems to determine the activity of step sites in electrocatalysis, especially because UHV-scanning tunneling microscopy (STM) enables control of the quality of narrow step modifications with high accuracy on such systems. As verified with STM, cyclic voltammetry (CV), and temperature-programmed desorption (TPD) measurements, this approach allows us (i) to increase the step density by homoepitaxial growth of monolayer high islands on the respective single crystal and (ii) to modify the step sites for adsorption of reactants by selective deposition of a guest metal. Herein, STM imaging in combination with electrochemical characterization provides a direct control to ascertain a selective modification of the entire steps.

Rolling a trauma patient onto the right side increases sensitivity of FAST examination.

Purpose: Hemoperitoneum in the hypotensive trauma patient is an indication for emergent laparotomy. Focused assessment sonography in trauma (FAST) is a widely used tool for detecting hemoperitoneum. The usefulness of FAST is currently limited by low sensitivity.

The Effect of Anions and pH on the Activity and Selectivity of an Annealed Polycrystalline Au Film Electrode in the Oxygen Reduction Reaction-Revisited.

Aiming at a better understanding of correlations between the activity and selectivity of Au electrodes in the oxygen reduction reaction (ORR) under controlled transport conditions, we have investigated this reaction by combined electrochemical and in situ FTIR measurements, performed in a flow cell set-up in an attenuated total reflection (ATR) configuration in acid and alkaline electrolytes. The formation of incomplete reduction products (hydrogen peroxyde/peroxyls) was detected by a collector electrode, the onset of OH formation was probed by bulk CO oxidation. Using an electroless-deposited, annealed Au film on a Si prism as working electrode and three different electrolytes for comparison (sulfuric acid, perchloric acid, sodium hydroxide solution), we could derive detailed information on the anion adsorption behavior, and could correlate this with the ORR characteristics.