Pediatrics in Review
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(Pediatrics in Review. 2008;29:366-367. doi:10.1542/10.1542/pir.29-10-366)
© 2008 American Academy of Pediatrics
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In Brief

Safety on Bicycles, Skateboards, Scooters, and Skates

The first 20% of the full text of this article appears below.

Helmets for Preventing Head and Facial Injuries in Bicyclists. Thompson DC, Rivara FP, Thompson R. Cochrane Database Syst Rev.1999 ;4 :CD001855 Injury-control Recommendations: Bicycle Helmets. Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep.1995 ;44 (RR-1) Bicycle Helmet Legislation for the Uptake of Helmet Use and Prevention of Head Injuries. Macpherson A, Spinks A. Cochrane Database Syst Rev.2007 ;2 :CD005401[Medline] In-line Skating Injuries in Children and Adolescents. American Academy of Pediatrics, Committee on Injury and Poison Prevention and Committee on Sports Medicine and Fitness. Pediatrics.1998 ;101 :720 –722[Abstract/Free Full Text] Skateboard and Scooter Injuries. American Academy of Pediatrics, Committee on Injury and Poison Prevention. Pediatrics.2002 ;109 :542 –543[Abstract/Free Full Text]

Pediatricians should counsel families on ways their children can avoid injury on bikes, scooters, skateboards, and skates. Although some recommendations are based more on common sense than on evidence, the protective effects of helmet use for bicycle riders are uncontested. Each year in the United States, approximately 500,000 people of all ages are treated in emergency departments (EDs) for injuries related to bicycle riding. About 6% of these visits, 30,000 per year, lead to hospitalization, and close to 1,000 of the injuries are fatal. Facial injury, bony fractures, blunt abdominal trauma, abrasions, and lacerations account for most of the injuries. . . . [Full Text of this Article]


Alex Okun, MD
 Children's Hospital at Montefiore
Bronx, NY

Henry M. Adam, MD, Editor, In Brief
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