Trends in head injuries and helmet use in cyclists at an inner-city major trauma centre, 1991–2010

Michael M Dinh, Susan Roncal, Timothy C Green, Elizabeth Leonard, Amanda Stack, Chris Byrne and Jeffrey Petchell
Med J Aust 2010; 193 (10): . || doi: 10.5694/j.1326-5377.2010.tb04078.x
Published online: 15 November 2010

To the Editor: The benefits of bicycle helmet use have been the subject of recent discussion, with calls from some experts to review laws mandating the wearing of helmets.1 The objective of this brief report is to summarise long-term trends in cyclist head injuries seen at an inner-city major trauma centre and determine the odds of any skull fracture or intracranial bleed associated with not wearing a helmet.

  • 1 Department of Trauma Services, Royal Prince Alfred Hospital, Sydney, NSW.
  • 2 Emergency Department, Royal Prince Alfred Hospital, Sydney, NSW.

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  • 2. Lehmann R, Lee D, Reid I, et al. Cycling in NSW. What the data tells us. Sydney: prepared by Parsons Brinkerhoff for the Premier’s Council for Active Living, 2008. (accessed Sep 2010).
  • 3. Gennarelli TA, Wodzin E, editors. Abbreviated Injury Scale. Barrington, Ill: Association for the Advancement of Automotive Medicine, 2005.
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  • 5. Thompson DC, Rivara FP, Thompson R. Helmets for preventing head and facial injuries in bicyclists. Cochrane Database Syst Rev 2000; (2): CD001855.
  • 6. Victorian Neurotrauma Initiative. The economic cost of spinal cord injury and traumatic brain injury in Australia. Geelong: Access Economics, 2009. (accessed Sep 2010).


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