Cyclists hitting their heads on crashing

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Steady rider
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Re: Cyclists hitting their heads on crashing

Post by Steady rider »

Jdsk » 3 Apr 2023, 12:33pm wrote
What is the effect of wearing a helmet on head injuries if your head is going to hit something?
What is the effect of you wearing a helmet on your behaviour?
What is the effect of you wearing a helmet on the behaviour of other road users?
What are the effects of mandatory wearing of helmets?
http://www.ta.org.br/site2/Banco/7manua ... Helmet.pdf

It provides details regarding mandatory wearing of helmets (when enforced).

https://www.researchgate.net/publicatio ... _warranted
It considers a wide range of evidence and provides an estimate on the cost effectiveness of helmet promotion.

https://www.researchgate.net/publicatio ... jury_rates
It provides details of the effects of helmet wearing on the accident rate.

What is the effect of wearing a helmet on accident involvement, risk of head injuries and how frequent can they be expected for cycling without a helmet and with a helmet. Is my preferred alternative first question.
Jdsk
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Re: Cyclists hitting their heads on crashing

Post by Jdsk »

Steady rider wrote: 3 Apr 2023, 5:36pm Jdsk » 3 Apr 2023, 12:33pm wrote
What is the effect of wearing a helmet on head injuries if your head is going to hit something?
What is the effect of you wearing a helmet on your behaviour?
What is the effect of you wearing a helmet on the behaviour of other road users?
What are the effects of mandatory wearing of helmets?
http://www.ta.org.br/site2/Banco/7manua ... Helmet.pdf

It provides details regarding mandatory wearing of helmets (when enforced).

https://www.researchgate.net/publicatio ... _warranted
It considers a wide range of evidence and provides an estimate on the cost effectiveness of helmet promotion.

https://www.researchgate.net/publicatio ... jury_rates
It provides details of the effects of helmet wearing on the accident rate.
...
You deleted my preference for using the best available methods and the best available evidence. These are all articles that look like scientific publications but fail on the most basic criteria: systematic review of the relevant literature, not cherrypicking favourable studies, not cherrypicking data from within those studies etc.

Anyone can replicate what I'm saying here by using one of the widely available checklists for evidence-based methods.

Jonathan

PS: Good practice also requires statements of interest when citing sources.
drossall
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Re: Cyclists hitting their heads on crashing

Post by drossall »

Jon in Sweden wrote: 3 Apr 2023, 12:50pmI do not cycle recklessly. Whether I have a helmet on or not has no bearing on how I cycle. Genuinely none. I really, really don't want to fall off my bike, regardless of whether I'm helmeted or not.

The kind of people who undertake to cycle more dangerously with a helmet are probably beyond help. They're a liability whether helmeted or not.
But the point of risk compensation is that you generally don't notice yourself doing it. I don't see how an argument that you don't notice yourself not noticing yourself doing something advances anyone's case very much.
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Cowsham
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Re: Cyclists hitting their heads on crashing

Post by Cowsham »

Cuk does cycle insurance I believe -- do they cover personal injury and if so is there a caveat about helmet wearing or not?
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Steady rider
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Re: Cyclists hitting their heads on crashing

Post by Steady rider »

Jdsk
As far as I know none of the systematic reviews of the relevant literature compare the accident rate per mile of travel for helmeted v unhelmeted, so they may be unreliable to draw conclusions from. They provide a guide to the likely outcome for head injuries but should not be the only approach. Often they do not consider the full evidence properly.
Jon in Sweden
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Re: Cyclists hitting their heads on crashing

Post by Jon in Sweden »

drossall wrote: 3 Apr 2023, 5:50pm
Jon in Sweden wrote: 3 Apr 2023, 12:50pmI do not cycle recklessly. Whether I have a helmet on or not has no bearing on how I cycle. Genuinely none. I really, really don't want to fall off my bike, regardless of whether I'm helmeted or not.

The kind of people who undertake to cycle more dangerously with a helmet are probably beyond help. They're a liability whether helmeted or not.
But the point of risk compensation is that you generally don't notice yourself doing it. I don't see how an argument that you don't notice yourself not noticing yourself doing something advances anyone's case very much.
That as the case may be, I do not alter my riding behaviour depending on whether or not I have a helmet.
drossall
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Re: Cyclists hitting their heads on crashing

Post by drossall »

Not as far as you've noticed, anyway :lol:
Steady rider
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Re: Cyclists hitting their heads on crashing

Post by Steady rider »

Jon in Sweden wrote
The reason I make the distinction is that when on training rides, I'm on higher speed limit roads going at a much higher speed. When I'm in the village, my speed is low and the speed limits are 30 or 40kph. Consequently the risk is far lower for me.
I do not alter my riding behaviour depending on whether or not I have a helmet
.

You accept higher risks and ride at higher speeds, deciding to wear a helmet. You ride slower and do not wear one. Perhaps you trying to change the risk level by wearing a helmet?
mattheus
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Re: Cyclists hitting their heads on crashing

Post by mattheus »

drossall wrote: 3 Apr 2023, 8:26pm Not as far as you've noticed, anyway :lol:
Do you think it will ever sink in? I doubt it, but I like to hope for the best!
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pjclinch
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Re: Cyclists hitting their heads on crashing

Post by pjclinch »

Steady rider wrote: 3 Apr 2023, 7:34pm Jdsk
As far as I know none of the systematic reviews of the relevant literature compare the accident rate per mile of travel for helmeted v unhelmeted, so they may be unreliable to draw conclusions from. They provide a guide to the likely outcome for head injuries but should not be the only approach. Often they do not consider the full evidence properly.
Yes, the systematic reviews aren't (IMHO) up to snuff... but Jonathan's point still stands. If you look at those and say, "well I won't quote those because I don't like them because x, y, x" then you are beholden to apply the same standards to the stuff you do quote.

In other words, if "they may be unreliable to draw conclusions from", can you say the same thing for what you're citing? My hunch is Jonathan feels "they may be unreliable to draw conclusions from" and if that's what he does think I would say he has a point worth considering.

This is why I tend not to cite much in the way of literature, and when I do it tends to come with heavy qualification and context. And of course the thing I cite the most, Goldacre and Spiegelhalter's BMJ editorial, isn't "the literature" but a comment on its serious limitations.

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pjclinch
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Re: Cyclists hitting their heads on crashing

Post by pjclinch »

drossall wrote: 2 Apr 2023, 12:27am
Jon in Sweden wrote: 1 Apr 2023, 7:09amThe reason I make the distinction is that when on training rides, I'm on higher speed limit roads going at a much higher speed. When I'm in the village, my speed is low and the speed limits are 30 or 40kph. Consequently the risk is far lower for me.
I still find that logic difficult. Helmets are designed and tested for the forces associated with falling off sideways from a standing start. By the time your head hits the ground, it's probably doing about 10mph. Since most of the "interesting" things in a crash relate more to the square of speed than the speed itself, a rough approximation, and making the assumption of a direct impact, says that 40kph=25mph is exceeding the design parameters of the helmet by 6.25 times.

I'd find it much easier to understand people arguing for helmets at low speed and questioning their value at high, just as I'd find it really weird if soldiers were to decline bullet-proof vests in gun battles and then insist on them for tank fire.
The speed thing...
It's not how fast you're going when you hit whatever you hit, but how rapidly you stop. Mostly what people hit at speed is the ground, and they end to keep moving in the direction they're going horizontally so the KE is scrubbed off slowly and doesn't break things. Take a look at this... https://www.youtube.com/watch?v=kZZTapcPRSk and think you fast he's going, and with nothing but some leather and padding he's fine, because the (horizontal) energy he had on coming off was scrubbed off slowly.
The ground, however, doesn't let you dig a hole unless it's particularly soft, so you stop very suddenly, at ~ 12 mph, and that's why helmets are rated at 12 mph.

The going over the rating by going fast would certainly be an issue if you hit e.g. a wall, tree, lamp-post etc. head on, but other than that horizontal speed mainly removes skin. That's not very nice but isn't likely to kill you.

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Cowsham
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Re: Cyclists hitting their heads on crashing

Post by Cowsham »

Could cycle insurance affect risk compensation?
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Stevek76
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Re: Cyclists hitting their heads on crashing

Post by Stevek76 »

Seems less likely. Risk compensation is a psychological phenomenon so need to consider what the stimuli to the user are. Consciously or subconsciously the user has to feel safer and then also needs the freedom to adjust.

Helmets and other PPE actively feel protective while in use. Not sure that applies to insurance for most.
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drossall
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Re: Cyclists hitting their heads on crashing

Post by drossall »

pjclinch wrote: 4 Apr 2023, 10:42amThe speed thing...
It's not how fast you're going when you hit whatever you hit, but how rapidly you stop. Mostly what people hit at speed is the ground, and they end to keep moving in the direction they're going horizontally so the KE is scrubbed off slowly and doesn't break things. Take a look at this... https://www.youtube.com/watch?v=kZZTapcPRSk and think you fast he's going, and with nothing but some leather and padding he's fine, because the (horizontal) energy he had on coming off was scrubbed off slowly.
The ground, however, doesn't let you dig a hole unless it's particularly soft, so you stop very suddenly, at ~ 12 mph, and that's why helmets are rated at 12 mph.

The going over the rating by going fast would certainly be an issue if you hit e.g. a wall, tree, lamp-post etc. head on, but other than that horizontal speed mainly removes skin. That's not very nice but isn't likely to kill you.

Pete.
Oh I agree. But it's not the way most people are thinking. And you explain nicely why the mechanics of crashes are much more complex than many people advocating helmets are thinking about. I can never get away from the memory that, when we wore the old leather hairnets, we knew that we were being protected against that kind of sliding crash. Only with the appearance of hard shells did assumptions change.

This is not a statement in favour of going back to the old design, but in favour of going back to the old assumptions.
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Re: Cyclists hitting their heads on crashing

Post by mattheus »

Cowsham wrote: 4 Apr 2023, 12:27pm Could cycle insurance affect risk compensation?
Can I assume you mean insurance against cycle damage?
Stevek76 wrote: 4 Apr 2023, 12:37pm Seems less likely. Risk compensation is a psychological phenomenon so need to consider what the stimuli to the user are. Consciously or subconsciously the user has to feel safer and then also needs the freedom to adjust.

Helmets and other PPE actively feel protective while in use. Not sure that applies to insurance for most.
Yes; unless the rider instinctively worries as much about repaisr to his precious machine as about injuries! I think instincts protect against bodily harm first and foremost.
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