Three strikes--don't die of a broken heart.
There are multiple layers of complexity in prevention of vehicle related blunt traumatic aortic rupture (BTAR), many of which are enshrined within government policy and car design. We present a 'layers of protection analysis' (LOPA) based loosely on original work by Professor John Doyle, which describes these attempts to 'design out' the risk of BTAR following a vehicle collision. We have modified this approach to include a physiological dimension suggesting that this may be a factor in susceptibility to aortic injury following trauma. Understanding processes involved in BTAR following vehicle collisions is key to designing preventative processes.
Field
Mark L
ML
The Liverpool Heart and Chest Hospital, Liverpool, UK. mlfield@doctors.net.uk
Sastry
Priya
P
Richens
David
D
D000063:Accidents, Traffic / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D001011:Aorta / Q000293:injuries*; D001019:Aortic Rupture / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D003257:Consumer Product Safety; D004867:Equipment Design; D019317:Evidence-Based Medicine; D033161:Government Regulation; D006293:Health Promotion; D006801:Humans; D040242:Risk Reduction Behavior; D012622:Seat Belts; D013898:Thoracic Injuries / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D006113:United Kingdom / Q000453:epidemiology