Be prepared for an accident

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As I say - I look forward to your citations of research that find that cycle helmets cause more head injuries than not.

This isn't necessary because no-one is telling anyone to stop wearing a helmet. I've not seen anyone say that on this thread.

Evidence is needed when trying to persuade people to change their behaviour, in this case, to wear a cycle helmet. So far, there hasn't been anything conclusive to say cycle helmets have reduced head injuries amongst cyclists.
 

classic33

Leg End Member
And there were me thinking this thread was about limiting the victim blaming when we as cyclists get injured whilst cycling.
 

roubaixtuesday

self serving virtue signaller
The Stats are also difficult to make sense of because there is a large percentage of bicycle collisions where the helmet is irrelevant - so the ones where they are relevant are rather in the background.

Doesn't that just mean that they're not that important given that Cycling is pretty safe and helmets rarely make it any safer?

I dunno why people get so worked up about it. It doesn't really matter one way or another.
 

Profpointy

Legendary Member
To compare with my main sport of caving, it is worth noting that you hit your head a lot when you first start because you haven't adjusted to the extra height with a helmet on. It can be painfully jarring too. Now that said, it hurts a lot less than hitting your head without a helmet even though you hit your head more. The helmet is also some help if you fall off a climb or if a (small) rock hits you on your head, but I guess of more limited benefit if the rock is a boulder the size of a television ! In any case you need somewhere to put your light.

This did get me thinking that that must be a scenario where, for a given speed / severity of impact vs increased rate of impact, the risk/reward must balance out. Given the real life statistics perhaps cycling fits this profile?

Another scenario was tradesmen / fitters working in semi-confined spaces in nuclear submarines. I have it on good authority (hopefully not a breach of the official secrets act!) that they determined that more workers were getting neck injuries due to banging their helmeted heads more, that were being saved from bashing their heads on beams and therefore stopped mandating helmets for general wear.

And here's a bit of comedy. I was helping my father go to the loo in hospital and hit my head on the sharp aluminium extrusion on the door of a stupidly positioned wall cabinet. Returning to the ward the nurse looked worried and asked if I was OK. I realised why he was seemingly fussing when I looked in the mirror
1741260916344.png



It was quite a nasty cut. Should I have been wearing a helmet?
 

presta

Legendary Member
even though nearly 60 I sometimes go out in a group and push myself as hard as I can , the effort I put in now is as near 100% as it would have been if I was 20 ( though results may be different ) I would think racing cyclists are putting in 100% effort so whats the difference ?
How hard you push yourself relative to your own fitness isn't relevant, how hard you push relative to the riding conditions is. Fast cornering in the wet on tight bends for example, or getting too close to other cyclists.
if there was a shred of evidence that helmets caused injury , insurance companies would pick up on it
Why? The more accidents people have, the more is paid out in claims, so the more is collected in premiums to cover it, and the more profit is made on the difference between the two. Risk is an insurance company's bread and butter, (as long as they can predict it), a world with no risk would be a world with no insurance industry.
I have been unable to find any medical research that does *not* come to the conclusion that cycle helmets reduce injury.
Research that shows your risk of injury is reduced if you have an accident, nobody is researching whether helmet wearers have more accidents.
Actually they had conversations with top chefs who agreed that long kitchen knives don't need a razor sharp point.
I've seen conversations with doctors pointing out how quickly a small short penknife in the femoral artery will kill.
In your opinion. Which is only as valid as that of anyone else on here.
In Professor John Adams' opinion, which is probably more valid than people on here.
Is that amongst the cycling population, or the population as a whole?
A large enough sample to be statistically representative of the whole cycling population.
What, in your opinion, is the question they should be asking?
and:
Why are you finding it surprising that medical research uses hospital data? That's where medical research is done.
and:
I'm really not interested, and that wasn't the point of my response. I would want to use a helmet if it *definitely* halves the severity of a head injury even if it *possibly* makes it more likely to suffer one. I'd go with the evidence rather than the hypothesis.

This diagram shows the difference between the correct research that isn't being done, and the disingenuous question-begging research that's getting repeated ad nauseam: if you count victims at the hospital door, all you have is the groups in black, and you are completely missing the groups in red!
1741278008057.png

In case the problem isn't already obvious enough, here's the same diagram again with some hypothetical data appended to show how simply conducting the research correctly could potentially cause a complete reversal of the result:

1741278190238.png

See how a study purporting to prove that helmets halve your risk of a head injury could actually show that helmets double your risk when it's conducted properly, with all the relevant data included.

So why not do the experiment properly? Well we already have done. Sort of.

Back in the 1970s America did a huge experiment in which the compulsory motorcycle helmet legislation was repealed for half the states and retained for the other half. The result showed that the states with repealed helmet laws had a lower death rate than the the states that retained them, but the stats in the published report were fiddled to hide it. So, yes, this is just one study, and for motorcycle (not cycle) helmets, but given this prima facie evidence, the really interesting question is why in the last 40-odd years hasn't it been repeated over and over again until it answers the question instead of begging it? Well, my view, for what it's worth, is that this has convinced people that they're unlikely to get the answer that they want.
 
Doesn't that just mean that they're not that important given that Cycling is pretty safe and helmets rarely make it any safer?

I dunno why people get so worked up about it. It doesn't really matter one way or another.

The main reason I wear a helmet is that it makes my wife feel better about me riding around strange roads with cars around - some of which may well be driven by idiots

OK - I started because I was a teacher at a local Primary school at the time and it seemed rather wrong to be telling them that wearing a helmet is a good idea
then rocking up every day without one
and especially going home at lunchtime 2 days a week (I was part time) and wheeling my bike through the playground with no helmet

And I fell off once and broke my arm - things were a bit confused when I was getting myself up from the floor but I was OK except for my arm and a few bruises

Until a few weeks later when I went to put my helmet away and discovered a big dent on the polystyrene just where my head would have hit the ground
so apparently it had - and it was a big dent


but that was a one off (???) and my wife did say that she would be happier if I wore one as it would make her feel I was safer

as she is not into bike at all (I know - the things I put up with!!) the arguments - sorry discussions - around the topic pass her by

so I wear one


it also makes it easier when the doorbell rings and I come back in with a parcel - and she asks wht it is and I reply "something for my bike"
 

roubaixtuesday

self serving virtue signaller
The main reason I wear a helmet is that it makes my wife feel better about me riding around strange roads with cars around - some of which may well be driven by idiots

OK - I started because I was a teacher at a local Primary school at the time and it seemed rather wrong to be telling them that wearing a helmet is a good idea
then rocking up every day without one
and especially going home at lunchtime 2 days a week (I was part time) and wheeling my bike through the playground with no helmet

And I fell off once and broke my arm - things were a bit confused when I was getting myself up from the floor but I was OK except for my arm and a few bruises

Until a few weeks later when I went to put my helmet away and discovered a big dent on the polystyrene just where my head would have hit the ground
so apparently it had - and it was a big dent


but that was a one off (???) and my wife did say that she would be happier if I wore one as it would make her feel I was safer

as she is not into bike at all (I know - the things I put up with!!) the arguments - sorry discussions - around the topic pass her by

so I wear one


it also makes it easier when the doorbell rings and I come back in with a parcel - and she asks wht it is and I reply "something for my bike"

I wear a helmet for most of my riding, which is commuting. It makes me feel a bit safer and provides a convenient high level light mount, which makes me feel a lot safer in the dark.

I don't wear a helmet in hot weather - too sweaty- or if I'm just popping down the shops - too much hassle.

I just don't kid myself it makes that much difference to my safety. Perhaps a little bit, at best.
 

From memory, Sweden briefly made helmets compulsory, but they then stopped because children were killed because they didn't take them off when on playground equipment. The conclusion was that the risk was greater than the potential lives saved, in fact I recall that it was summed up as "We know we killed people, but we don't know if we saved anyone."

Ironically, I need to get Beautiful Daughter a helmet today because she's about to do her "cycling to school" test, and the schools insist on kids wearing a helmet during the test and thereafter when riding to school and back, or they aren't insured.
 
I wear a helmet for most of my riding, which is commuting. It makes me feel a bit safer and provides a convenient high level light mount, which makes me feel a lot safer in the dark.

I don't wear a helmet in hot weather - too sweaty- or if I'm just popping down the shops - too much hassle.

I just don't kid myself it makes that much difference to my safety. Perhaps a little bit, at best.

Yeah
Thing is - it might only be of any use in a small percentage of collisions
but if you wake up in hospital and find you were unlucky enough to have had just that kind of collision then the fact that you were statistically right to not wear it
won't be a lot of comfort

Of course, that sort of logic tends towards an attitude of "I'm only going outside the 4 walls of my house in my tank"
which doesn't help a lot
 

icowden

Veteran
Location
Surrey
I notice that those flippin' doctors are at it again:
What is it about Neurosurgeons and their obsession with protecting people's heads? What do they know about the relationship of head injuries to wearing helmets? I've heard that it's the same as panel beaters not knowing anything about car crashes.
 
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