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	<title>Comments on: Bicycle Helmets</title>
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		<title>By: Piebald Skeptic</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51803</link>
		<dc:creator>Piebald Skeptic</dc:creator>
		<pubDate>Sat, 16 Mar 2013 05:19:33 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51803</guid>
		<description>Many years ago I did a study on bicycle related injury in rural town and had great interest in promoting the use of cycling helmets. I still see lots of injuries, but far fewer kidney donors.
When considering children it is important to consider the mass of the helmet, and the risk of penetration. Hard shell helmets reduced penetration risk, but have a greater mass and increase the risk of cervical injury, soft compressible and light helmets appear to be the best compromise. 
Full face motor cycle helmets avoid this by transferring the force onto the clavicles, thus someone who head plants from a motor will present with fractured clavicles instead of being quadriplegic.
It was suggested that car drivers should be compelled to wear helmets - there has been an increase in head injuries for drivers T-boned by large 4WD (SUV), where the front of the larger vehicle is at the perfect height to penetrate the victim vehicle at the level of the driver&#039;s head.
Why do we legislate to protect people from uncommon events and ignore them being conned by the altmed industry which results in far more preventable deaths? Chiropractors kill more people by inducing strokes that die from cycling head trauma.</description>
		<content:encoded><![CDATA[<p>Many years ago I did a study on bicycle related injury in rural town and had great interest in promoting the use of cycling helmets. I still see lots of injuries, but far fewer kidney donors.<br />
When considering children it is important to consider the mass of the helmet, and the risk of penetration. Hard shell helmets reduced penetration risk, but have a greater mass and increase the risk of cervical injury, soft compressible and light helmets appear to be the best compromise.<br />
Full face motor cycle helmets avoid this by transferring the force onto the clavicles, thus someone who head plants from a motor will present with fractured clavicles instead of being quadriplegic.<br />
It was suggested that car drivers should be compelled to wear helmets &#8211; there has been an increase in head injuries for drivers T-boned by large 4WD (SUV), where the front of the larger vehicle is at the perfect height to penetrate the victim vehicle at the level of the driver&#8217;s head.<br />
Why do we legislate to protect people from uncommon events and ignore them being conned by the altmed industry which results in far more preventable deaths? Chiropractors kill more people by inducing strokes that die from cycling head trauma.</p>
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		<title>By: Waydude</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51531</link>
		<dc:creator>Waydude</dc:creator>
		<pubDate>Sun, 10 Mar 2013 05:28:25 +0000</pubDate>
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		<description>I can&#039;t count how many times my helmet saved my bacon mtn biking. I wouldn&#039;t even go mtn biking without a helmet, I guess that&#039;s a case where ricky behavior is increased with helmet usage, but truthfully, I want to engage in risk but I also want to keep my head intact. I also dirtbike and would never even consider riding without a helmet. 

But lately, the argument I get in is with old friends about ski helmets. Now we all grew up in Park City, UT a ski town, and I think some of us now in the 40&#039;s are just denying them because they think they are silly and yet come up with these rationalizations as an excuse. As someone who got knocked out twice skiing, it was a no brainer (ha!) for me. The moment came when I caught an edge at the top of a chute, and went down head first. It&#039;s a very steep run, trees everywhere, and I remember saying to myself, If I make it through this, I&#039;m getting a helmet. And I did. It has come in handy skiing tress when I didn&#039;t duck low enough and hit a branch. You could say the helmet made me more careless but honestly, ahem, I have done that before. Hey sometimes you think you&#039;re clear, and then crack! Also, one time the safety bar (ha!) hit me in the head on the lift. 

As for Holland, a place I have visited many times, things are different there. They have much more of a bicycling culture and that is reflected in how they ride and respect each other. I was told that bicycles have the right of way over cars and pedestrians. 

But the final thing for helmets for me is, sometimes you can have just the smallest accident, no other bike or car or person involved, just one of those &#039;doh!&#039; moments, and you clunk your head on the curb and it&#039;s all over. Head trauma sucks, you got one brain, protect it. 

I do agree on how unstylish bike helmets still are, but until I find that perfect cool helmet, I guess I&#039;m stuck with my dorky Giro. Hey, at least it&#039;s got a sun visor!</description>
		<content:encoded><![CDATA[<p>I can&#8217;t count how many times my helmet saved my bacon mtn biking. I wouldn&#8217;t even go mtn biking without a helmet, I guess that&#8217;s a case where ricky behavior is increased with helmet usage, but truthfully, I want to engage in risk but I also want to keep my head intact. I also dirtbike and would never even consider riding without a helmet. </p>
<p>But lately, the argument I get in is with old friends about ski helmets. Now we all grew up in Park City, UT a ski town, and I think some of us now in the 40&#8242;s are just denying them because they think they are silly and yet come up with these rationalizations as an excuse. As someone who got knocked out twice skiing, it was a no brainer (ha!) for me. The moment came when I caught an edge at the top of a chute, and went down head first. It&#8217;s a very steep run, trees everywhere, and I remember saying to myself, If I make it through this, I&#8217;m getting a helmet. And I did. It has come in handy skiing tress when I didn&#8217;t duck low enough and hit a branch. You could say the helmet made me more careless but honestly, ahem, I have done that before. Hey sometimes you think you&#8217;re clear, and then crack! Also, one time the safety bar (ha!) hit me in the head on the lift. </p>
<p>As for Holland, a place I have visited many times, things are different there. They have much more of a bicycling culture and that is reflected in how they ride and respect each other. I was told that bicycles have the right of way over cars and pedestrians. </p>
<p>But the final thing for helmets for me is, sometimes you can have just the smallest accident, no other bike or car or person involved, just one of those &#8216;doh!&#8217; moments, and you clunk your head on the curb and it&#8217;s all over. Head trauma sucks, you got one brain, protect it. </p>
<p>I do agree on how unstylish bike helmets still are, but until I find that perfect cool helmet, I guess I&#8217;m stuck with my dorky Giro. Hey, at least it&#8217;s got a sun visor!</p>
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		<title>By: ChrisH</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51330</link>
		<dc:creator>ChrisH</dc:creator>
		<pubDate>Mon, 04 Mar 2013 17:08:50 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51330</guid>
		<description>eikrystal:&lt;blockquote&gt;What’s funny is that the people who wouldn’t dream of protecting themselves with a helmet are the same people that, when getting into a car seem to forget they have a seat-belt,...&lt;/blockquote&gt;

Many many years ago, a group of us from work piled into a car to go to lunch.  One person in the back commented: &quot;Well, I guess we are required to put our seat belts on now!&quot;.  To which I replied that the lap belt I had worn as a teenager was why I still had a face.  I was in the front seat of an old 1960s car, and we had a fairly slow speed head on collision.  I have a vivid memory of the dash board getting closer to my head, and then I bounced back.  Because it was just a lap belt, I ended up with a couple of broken ribs and a weekend in the hospital (the doctor wanted to make sure I had bruised my spleen).  Even though those ribs hurt for a couple of years, it was better than having my head hit the dashboard (or go through the window).

Needless to say, the person who made the quip about seat belts did not open her mouth again about vehicular safety devices.

(oh, and talk about faulty memory:  I always remember the oncoming car as being red, I was told later it was actually blue)</description>
		<content:encoded><![CDATA[<p>eikrystal:<br />
<blockquote>What’s funny is that the people who wouldn’t dream of protecting themselves with a helmet are the same people that, when getting into a car seem to forget they have a seat-belt,&#8230;</p></blockquote>
<p>Many many years ago, a group of us from work piled into a car to go to lunch.  One person in the back commented: &#8220;Well, I guess we are required to put our seat belts on now!&#8221;.  To which I replied that the lap belt I had worn as a teenager was why I still had a face.  I was in the front seat of an old 1960s car, and we had a fairly slow speed head on collision.  I have a vivid memory of the dash board getting closer to my head, and then I bounced back.  Because it was just a lap belt, I ended up with a couple of broken ribs and a weekend in the hospital (the doctor wanted to make sure I had bruised my spleen).  Even though those ribs hurt for a couple of years, it was better than having my head hit the dashboard (or go through the window).</p>
<p>Needless to say, the person who made the quip about seat belts did not open her mouth again about vehicular safety devices.</p>
<p>(oh, and talk about faulty memory:  I always remember the oncoming car as being red, I was told later it was actually blue)</p>
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		<title>By: eiskrystal</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51317</link>
		<dc:creator>eiskrystal</dc:creator>
		<pubDate>Mon, 04 Mar 2013 09:25:30 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51317</guid>
		<description>&lt;blockquote&gt;Vehicle drivers, however, appear to give bicycle riders without helmets more room than those with helmets. So wearing a helmet may make it more likely to be hit by a car while riding a bike.&lt;/blockquote&gt;

I wondered about this and realized two things. Firstly, most accidents don&#039;t happen because a car has rammed a bike off the road sideways. They happen at junctions or because the bike wasn&#039;t seen at all. Secondly if I see someone without a helmet, I instantly assume they are not going to be a regular rider so are going to be careless, unpredictable and wobbly. I would give extra berth to a learner driver for the same reason.

What&#039;s funny is that the people who wouldn&#039;t dream of protecting themselves with a helmet are the same people that, when getting into a car seem to forget they have a seat-belt, air bags, basic roll cage, special designs that crumple the car to absorb the energy, adjustable wrapping head rests to protect against neck injury, ABS brakes and probably a few other things. Not to mention the number one reason I always hear for the SUV, that it&#039;s big so it&#039;s protective.

But no, we definitely shouldn&#039;t put on a small, light helmet and maybe wear some bright clothes when hurtling along a road on top of a bit of metal and some rubber.</description>
		<content:encoded><![CDATA[<blockquote><p>Vehicle drivers, however, appear to give bicycle riders without helmets more room than those with helmets. So wearing a helmet may make it more likely to be hit by a car while riding a bike.</p></blockquote>
<p>I wondered about this and realized two things. Firstly, most accidents don&#8217;t happen because a car has rammed a bike off the road sideways. They happen at junctions or because the bike wasn&#8217;t seen at all. Secondly if I see someone without a helmet, I instantly assume they are not going to be a regular rider so are going to be careless, unpredictable and wobbly. I would give extra berth to a learner driver for the same reason.</p>
<p>What&#8217;s funny is that the people who wouldn&#8217;t dream of protecting themselves with a helmet are the same people that, when getting into a car seem to forget they have a seat-belt, air bags, basic roll cage, special designs that crumple the car to absorb the energy, adjustable wrapping head rests to protect against neck injury, ABS brakes and probably a few other things. Not to mention the number one reason I always hear for the SUV, that it&#8217;s big so it&#8217;s protective.</p>
<p>But no, we definitely shouldn&#8217;t put on a small, light helmet and maybe wear some bright clothes when hurtling along a road on top of a bit of metal and some rubber.</p>
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		<title>By: Davdoodles</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51302</link>
		<dc:creator>Davdoodles</dc:creator>
		<pubDate>Mon, 04 Mar 2013 02:00:50 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51302</guid>
		<description>As a cyclist and motorcyclist, who always wears a helmet, this whole subject still makes my teeth grind, for several reasons:

1. The vast majority of accidents are caused by the uncontrolled, unskilled, or inattentive acts of people driving incredibly dangerous objects.  

Mandating helmets for cyclists is the equivalent of mandating children wearing body armour as a response to school shootings.  Driving should only be undertaken by highly skilled, professionals, as is the case for busses, trucks and heavy equipment. No logical distinction exists, to my mind, between a sedan, and a Cessna.

2. Helmets would make EVERYTHING &quot;safer&quot;, including travelling in cars. Yet, while car drivers constantly harp on about how others should wear uncomfortable, expensive, restrictive objects on their heads and bodies (to keep them somewhat less vulnerable to the dangers mostly posed by car drivers), car drivers would never themselves agrree that car occupants should wear helmets and fire-proof clothing.

I have a simple, cheap, suggestion that would reduce the road toll to near-zero overnight: Remove the driver&#039;s seat belt and air bag from every car, and install a two-foot shiny steel spike protruding from the centre of the steering wheel, pointing directly toward the driver&#039;s chest.

Not a joke, by the way.
.</description>
		<content:encoded><![CDATA[<p>As a cyclist and motorcyclist, who always wears a helmet, this whole subject still makes my teeth grind, for several reasons:</p>
<p>1. The vast majority of accidents are caused by the uncontrolled, unskilled, or inattentive acts of people driving incredibly dangerous objects.  </p>
<p>Mandating helmets for cyclists is the equivalent of mandating children wearing body armour as a response to school shootings.  Driving should only be undertaken by highly skilled, professionals, as is the case for busses, trucks and heavy equipment. No logical distinction exists, to my mind, between a sedan, and a Cessna.</p>
<p>2. Helmets would make EVERYTHING &#8220;safer&#8221;, including travelling in cars. Yet, while car drivers constantly harp on about how others should wear uncomfortable, expensive, restrictive objects on their heads and bodies (to keep them somewhat less vulnerable to the dangers mostly posed by car drivers), car drivers would never themselves agrree that car occupants should wear helmets and fire-proof clothing.</p>
<p>I have a simple, cheap, suggestion that would reduce the road toll to near-zero overnight: Remove the driver&#8217;s seat belt and air bag from every car, and install a two-foot shiny steel spike protruding from the centre of the steering wheel, pointing directly toward the driver&#8217;s chest.</p>
<p>Not a joke, by the way.<br />
.</p>
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		<title>By: tmac57</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51300</link>
		<dc:creator>tmac57</dc:creator>
		<pubDate>Mon, 04 Mar 2013 01:29:55 +0000</pubDate>
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		<description>hippiehunter may be on to something,however I think (based on my internet research) that I would go with a realistic kitten &#039;plush&#039; toy attached to my bike rack :)</description>
		<content:encoded><![CDATA[<p>hippiehunter may be on to something,however I think (based on my internet research) that I would go with a realistic kitten &#8216;plush&#8217; toy attached to my bike rack <img src='http://theness.com/neurologicablog/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		<title>By: hippiehunter</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51297</link>
		<dc:creator>hippiehunter</dc:creator>
		<pubDate>Mon, 04 Mar 2013 00:57:48 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51297</guid>
		<description>Thanks for the interesting article.
Perhaps I should paint my helmet to resemble a head so that car drivers take a bit more care.
The risk homeostatsis argument is often UTILIZED by the anti-helmet law brigade.</description>
		<content:encoded><![CDATA[<p>Thanks for the interesting article.<br />
Perhaps I should paint my helmet to resemble a head so that car drivers take a bit more care.<br />
The risk homeostatsis argument is often UTILIZED by the anti-helmet law brigade.</p>
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		<title>By: tmac57</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51288</link>
		<dc:creator>tmac57</dc:creator>
		<pubDate>Sun, 03 Mar 2013 21:54:44 +0000</pubDate>
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		<description>BillyJoe7- A well designed mirror that is of adequate size and just the right amount of convex,can give you good,easy to check view from behind. I have ridden with and without a mirror,and the peace of mind that comes from having that extra piece of information about your surroundings,is well worth it.
Just as you commented about seat belts and helmets,once you are accustom to having that safety feature,you feel vulnerable without it.</description>
		<content:encoded><![CDATA[<p>BillyJoe7- A well designed mirror that is of adequate size and just the right amount of convex,can give you good,easy to check view from behind. I have ridden with and without a mirror,and the peace of mind that comes from having that extra piece of information about your surroundings,is well worth it.<br />
Just as you commented about seat belts and helmets,once you are accustom to having that safety feature,you feel vulnerable without it.</p>
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		<title>By: BillyJoe7</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51285</link>
		<dc:creator>BillyJoe7</dc:creator>
		<pubDate>Sun, 03 Mar 2013 20:37:15 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51285</guid>
		<description>Thadius,
Well, let&#039;s just say, you found a justification for your mistake ;)

tmac,
During my three months of cycling I often wondered about rear vision mirrors. I virtually never see them in use here. But you can&#039;t really get a good view looking backwards over, around, or under your shoulder and it keeps your eyes off the road ahead for too long, especially if riding at speed.

Chris,
I also have a bike trail near where I live and, likewise, it is a converted railway line. It extends 40km from Lillydale to Warburton and is pretty flat. I used to ride my hybrid bike along that trail to Warburton and back before discovering hill running.</description>
		<content:encoded><![CDATA[<p>Thadius,<br />
Well, let&#8217;s just say, you found a justification for your mistake <img src='http://theness.com/neurologicablog/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> </p>
<p>tmac,<br />
During my three months of cycling I often wondered about rear vision mirrors. I virtually never see them in use here. But you can&#8217;t really get a good view looking backwards over, around, or under your shoulder and it keeps your eyes off the road ahead for too long, especially if riding at speed.</p>
<p>Chris,<br />
I also have a bike trail near where I live and, likewise, it is a converted railway line. It extends 40km from Lillydale to Warburton and is pretty flat. I used to ride my hybrid bike along that trail to Warburton and back before discovering hill running.</p>
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		<title>By: rzach</title>
		<link>http://theness.com/neurologicablog/index.php/bicycle-helmets/comment-page-1/#comment-51274</link>
		<dc:creator>rzach</dc:creator>
		<pubDate>Sun, 03 Mar 2013 17:21:19 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=5367#comment-51274</guid>
		<description>Read these:

http://waronthemotorist.wordpress.com/2012/08/02/all-those-helmets-posts-in-one-place/

Elvik, R. Publication bias and time-trend bias in meta-analysis of bicycle helmet efficacy. Accid Anal Prev 2011
http://www.ncbi.nlm.nih.gov/pubmed/21376924

de Jong, P. The Health Impact of Mandatory Bicycle Helmet Laws. Risk Analysis 2012
http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1368064</description>
		<content:encoded><![CDATA[<p>Read these:</p>
<p><a href="http://waronthemotorist.wordpress.com/2012/08/02/all-those-helmets-posts-in-one-place/" rel="nofollow">http://waronthemotorist.wordpress.com/2012/08/02/all-those-helmets-posts-in-one-place/</a></p>
<p>Elvik, R. Publication bias and time-trend bias in meta-analysis of bicycle helmet efficacy. Accid Anal Prev 2011<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/21376924" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/21376924</a></p>
<p>de Jong, P. The Health Impact of Mandatory Bicycle Helmet Laws. Risk Analysis 2012<br />
<a href="http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1368064" rel="nofollow">http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1368064</a></p>
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