Support road.cc

Like this site? Help us to make it better.

Helmet debate

Please take the time to read this article to get a better idea about helmet safety.

A Second Chance
By Jeff Sambur

Late lunch? Bonus miles in Glacier National Park? Early Happy Hour?
These were some of my random thoughts as I huffed up the final pull toward the summit of Marias Pass. I was en route from West Glacier, Mont., to East Glacier on what was supposed to be a mellow seven-to-10-day circumnavigation of the Glacier/Waterton National Park complex. I was a mere half hour from completing these decisions when I was thrust into a cave.
Total darkness … no sound … no brakes screeching … no thud of my body smashing the sedan’s windshield … no noise as I went rolling and tumbling across 35 feet of asphalt and gravel. When I awoke in a ditch, a Good Samaritan was applying spinal traction to my neck. The peripheral vision from my left eye saw the drip, drip, drip of blood oozing from my nose. My right eye was swollen shut.
“What happened?” I asked weakly.
“You got rear-ended by a car. Don’t move!” she answered. She then called out, “He’s coming around. I’ll need some help here.”
I estimated I had checked out of planet Earth for two to four minutes. First responders in civilian clothes assisted me as they poked and plodded my body and took primary and secondary surveys of my injuries.
“Can you move your feet? Can you wiggle them? Squeeze my hands. Are you having trouble breathing?”
The questions came fast and furious: I passed the tests with flying colors. My spinal column was not severed. I was alert enough to pick up a distinct British accent from the crowd gathering above me. I got his attention.
“Was it you who hit me?”
“Yes. I was sightseeing and looking at the mountains and drifted into you.”
I might have said a few choice words to him, but I don’t recall. I don’t remember much, although I remember he never said he was sorry.
An ambulance from Browning arrived and I was placed on an unforgiving backboard and cervical collar. We raced back to the ER with the emergency lights on and sirens blaring. It was a bumpy, rough ride as we careened down the pass and through a construction zone. A paramedic attempted two sticks to get an IV into me and failed both times.
“Please don’t stick me again. I hurt enough already. They can do that in the ER under better conditions. I promise I won’t die before then.”
“OK. We can hold off on it.”
“Thanks.”
At the ER, a doctor made her orders known. “He’ll need a CAT-Scan of his head. Get a set of X-rays for his neck, chest and spine. Set him up with an IV ASAP. We’ll need to monitor his vital signs.”
The nurses and technicians efficiently carried out her orders. I was then in the hurry-up-and-wait mode of emergency medicine. A nursing student gently dabbed the grit, grime and dried blood from my many facial wounds and multiple areas of road rash. I even had road rash on the tops of my feet. Apparently, the force of the impact literally knocked me out of my shoes.
The compassionate ER doctor came to my side to survey the carnage to my face. She held my hand as she said, “Those lacerations and avulsions will need the care of a plastic surgeon. I can stitch them for you, but they can do a better job. Would you like me to arrange a helicopter transport to Kalispell Regional Medical Center? We can have a plastic surgeon waiting for you.”
“Please do. I am not a handsome man to begin with and I can use all the help I can get.” With that sad news, I knew my Hollywood contract as George Clooney’s double would surely be terminated. Shucks!
“We’ll arrange it. The CAT-Scan of your head and brain came out with negative findings. That is a good thing. We are waiting now for the radiologist to evaluate your neck, chest and spine X-rays.”
“Thanks for all the help. Can I get off of this backboard? It is really beginning to hurt me. I’m OK. I can move all of my parts.”
“Please wait a few minutes until we get the radiologist report. This is all precautionary.”
“OK. I’ll try.” The pressure point where my head contacted the backboard was starting to throb.
A few minutes later, (which seemed much longer) the nice ER doctor came back. Once again she held my hand.
“I have bad news. The radiologist found 11 fractures in your first 11 vertebrae. You have a broken sternum, too. There will be a neurosurgeon waiting for you in Kalispell, also.”
“What? How can that be? I can move all of my parts. Are you sure those were my X-rays?”
“Yes, those were your X-rays. You will get the best of care in Kalispell. I have a special place in my heart for bicycle riders. My son was killed by a driver 20 years ago when he was riding a bike. We will take care of you.”
No wonder she was holding my hand.
The helicopter flight crew came and checked me out. “We will hold off on the morphine drip until we get him to Kalispell. Jeff, we are going to give you a scenic ride over Glacier National Park. I am sorry to say you won’t get a chance to enjoy the views.”
With little fanfare, I was loaded and airborne. They had placed painkillers in my IV, so I became groggy, blurry and disconnected. I remember peeking at the snowcapped mountains briefly. Alas, I would not get to enjoy my $11,000 taxi ride to Kalispell. This was all business.
Upon arrival to my second ER of the day, a plastic surgeon went to work on my tenderized face.
“I will try to stitch you to minimize the scarring. However, there will be some scarring no matter what.” All in all, 20 stitches were applied to my eyebrows and right cheek. When she was done she asked. “Would you like to see my work in a mirror?”
“Sure!” I steadied myself for the view. OMG! I was staring at a mini-version of Frankenstein. My mug was enough to make a child cry. Dating would truly be more challenging in my future.
It was time to get past the cosmetics. A large neurosurgeon with sandy-colored hair and a stoic bedside manner approached me. “We won’t be operating on you. With all of your breaks, we would not even know where to start. Your spinal column is intact and not being impinged upon. We will place you in ICU and monitor your X-rays. We will hope there are no radical changes or shifts in your column. Now it is time for you to go on a morphine drip …”
“One question please. What is my long term prognosis?”
“We don’t know. We don’t see many patients like you.”
“Why is that?”
“Because they are usually dead.”
I whispered a lame, “Oh!”
The next few days on the morphine drip were a haze of dreaming and snippets of reality thrown in. Concerned friends and family members phoned me. I have no recollection of the conversations. I do recall the nursing staff getting me up and out of bed. I even walked up a flight of steps under their watchful eyes.
Best of all, my older brother Mike arrived from New York City to take care of his “baby” brother. I wept shamelessly as he entered the room. He went on to prove once again why he is the best brother in the world.
Four days after the impact, I was discharged from the hospital. My post-discharge orders were written out and terse. “Do Not Remove the Brace!” It looked like sponge baths and partial shampoos would be my method of hygiene for awhile. Gross.
Mike and I began a 1,000-mile journey south to my old hometown of Fort Collins, Colorado. He drove and I navigated. The plan was for me to get a second opinion from neurosurgeon number two and to convalesce in familiar surroundings.
I told Mike a few times: “I always wanted to take a road trip with you, but this is not what I had in mind.”
Eight days after the accident, Mike and I listened to neurosurgeon number two, a no-nonsense, no-sugar-coating doctor who calls it like he sees it. He does not believe in small-talk. I suppose after 35 years in the game, he has that right.
“Your vertebrae fractures are mild. You do have a definite broken sternum. I believe you will heal OK. We will take another set of X-rays in a few weeks to see if there are any changes. I doubt there will be. I’ll see you again in three weeks.”
In my former life, I worked for 28 years as a firefighter/EMT for the city of Fort Collins. In emergency services, the term “mechanism of injury” is bandied about to predict the outcome of an accident.
A small, 138-pound man being struck from behind by a sedan traveling at more than 50 mph is an obvious assault upon the body. Humans are not wired to survive such an ordeal. During my career, I went on calls for three similar bicycle accidents. For those unfortunate victims, there was no tomorrow. The one and only thing that separated me from them was my use of a bicycle helmet.
Now in Fort Collins, I meet former lovers, friends and acquaintances on the street. I smile grandly as I maneuver in to hug them. If the hug lingers long enough, I usually score a life affirming squeeze at the end. I make sure to pay back that squeeze in kind.
Second chances in life are precious. I do not wish to squander this one.

If you're new please join in and if you have questions pop them below and the forum regulars will answer as best we can.

Add new comment

109 comments

Avatar
Paul J | 11 years ago
0 likes

I don't wear one because they're hot.

I actually don't *want* to feel safe from wearing one. That's because I know, from previous experience, just how much the *other* parts of your body get injured in a crash. A helmet will not protect my limbs, my torso, my face. To the extent a helmet makes me feel safer, it may make the *rest* of my body less safe by making me accept more risk. I don't want any sense of false security a helmet might give.

My approach to safety is to slow down when I see hazards (e.g. cars waiting to come out of, or turn into a side road). To avoid the risk in the first place. I've been with helmeted riders in group rides who've asked me how I can be so reckless with safety. Then I see the same riders speed into turns¹, with very little margin for error. I've seen helmeted riders take daft risks on descents, then seen them on the floor after a corner. With bad cuts on their body, they've praised their helmet for saving them - but to me it looked like they risked their life speeding into blind corners on a 1-vehicle-wide, narrow country lane. Did the helmet protect, or did it suck them into terrible risks through a false sense of security?

I don't want to *feel* safer, I want to *be* safer.

1. This doesn't even always get them any further than me, because it's speed on corner exit that's the important bit - faster speed on entry needn't mean faster speed on exit.

Avatar
Saved by a helm... replied to Paul J | 11 years ago
0 likes

I just wish I had the helmet I was wearing that day to show you Neanderthals proof positive about the helmet use.

I never said a helmet is a panacea for safety.
I adamantly state that helmets can make a difference between death vs life, brain injured vs. none brain injured.

limbs and even vertebrae heal. the brain doesn't.

I have scars on my body from the crash. I am still alive.

Avatar
felixcat replied to Saved by a helmet twice | 11 years ago
0 likes
Saved by a helmet twice wrote:

Neanderthals proof positive about the helmet use.

I never said a helmet is a panacea for safety.
I adamantly state that helmets can make a difference between death vs life, brain injured vs. none brain injured.

No need to get abusive. The people who disagree with you are sincere in their beliefs. What is more, they have presented real world evidence to back up their views. You only give us anecdote and unsubstantiated assertion
As I wrote above, why are the helmet compulsion and high weearing rate countries the ones where cycle casualty rates are high? If helmets are the answer, why is your country so dangerous for cycling? It is the original home of foam hats, but still remains dangerous.
I do get the impression that you are so convinced of the rightness of your cause that you do not engage with the arguments of others.

Avatar
Stumps | 11 years ago
0 likes

I asked this once before but can anyone who does not wear a helmet explain why without rambling on about it.

For instance i wear one because i feel safer at the speeds i travel and roads i travel upon.

So if you dont feel safer please tell us or is it just down to looks  13

Avatar
Saved by a helm... replied to Stumps | 11 years ago
0 likes

thanks Stumps!

Avatar
hippy69 | 11 years ago
0 likes

Paul J & Felixcat, Guys, I was merely using anecdotes to show why "I" wear a helmet and how I believe it saved ME from more significant injury. I feel helmets should be purely optional and have no interest in making them compulsory, and yes dangerous roads probably do exacerbate the use of helmets. Helmets are not the answer to increasing cyclists safety, merely an added precaution I and others wish to take. Woulter Weylandt wasn't saved by his helmet! RIP182, but I'll still wear mine thanks.

Improving road layouts etc as they have in europe, and educating car drivers are far more effective ways of increasing safety. I've been lucky enough to ride lots of dutch streets and am constantly amazed at how safe it feels. Driver attitudes are far better in most of europe compared to the UK, I ride in france every summer and rarely experience the hostility I encounter on every ride back home. incidentally, I am a member of several campaigns to develop the 'Go dutch' systems to improve safety for me and others in London.

Cyclists are no blameless angels , we need to educate cyclists as well. Dangerous cyclists injure pedestrians by jumping lights etc. Would I ever tell a pedestrian to wear a helmet? Certainly advise them to look both ways before they step into the road! And remember, cars drivers have a big metal box and airbags around them, not fresh air and lycra, and most serious injuries to drivers are caused in high speed RTC's.

And guys, I'm the last person to ask about crash avoidance technique, my wife's getting a little fed up picking me up from hospital. Just can't resist those fast descents! the best thing about going uphill is coming down the other side. Does wearing a helmet make me take more risks, I doubt it, dude I'm dressed in Lycra, more concerned about tearing my skin off. BUT, I believe it may help me avoid a worse head injury if I wear one.

Avatar
Saved by a helm... replied to hippy69 | 11 years ago
0 likes

Hippy69

thanks for telling the folks in GB the way it is.

I feel like I am banging my head against the wall, I better put on my helmet!

Avatar
felixcat replied to Saved by a helmet twice | 11 years ago
0 likes
Saved by a helmet twice wrote:

Hippy69

thanks for telling the folks in GB the way it is.

I feel like I am banging my head against the wall, I better put on my helmet!

That is my sensation too. Have you really read and thought about the posts you dismiss?
If you think that your foam hat saved you from an impact which would have smashed your head like a watermelon I would suggest you put a deal too much faith in it.

Avatar
felixcat | 11 years ago
0 likes

Hippy69, I DO NOT want to try to discount the pain you must feel seeing the hunan results of road accidents, I would find your job very difficult. As Paul J says, surely the victims who were in cars or on foot need consideration, or, if helmets are the answer, should wear helmets.
With all due respect for your compassion and skill, I would no more take the advice of a nurse or a doctor on how to avoid an accident than the advice of a mechanic or panel beater.

Avatar
Paul J | 11 years ago
0 likes

Again, I really hope the nurses and EMTs here who are so sure about the wisdom of cycle helmets also advocate just as strongly for car-occupant helmets and pedestrian helmets.

Avatar
Saved by a helm... replied to Paul J | 11 years ago
0 likes

Paul J

we are talking apples and oranges.
get a grip.

Avatar
giff77 | 11 years ago
0 likes

All anecdotes aside. Jump on to YouTube and compare cycling in any UK/US city to any European city and you will see a huge difference. Take note of the types of bike, style of cycling, motorists attitude towards cyclists. All this contributes to a safer environment for cyclists. And guess what, hardly a helmet!

Here's a clip http://m.youtube.com/watch?v=a_8dGodhGtI&api_format=3&vndel=watch

Rather than advocate helmet use we should be lobbying for better laws and infrastructure for cyclists.

Avatar
Stumps replied to giff77 | 11 years ago
0 likes
giff77 wrote:

All anecdotes aside. Jump on to YouTube and compare cycling in any UK/US city to any European city and you will see a huge difference. Take note of the types of bike, style of cycling, motorists attitude towards cyclists. All this contributes to a safer environment for cyclists. And guess what, hardly a helmet!

Here's a clip http://m.youtube.com/watch?v=a_8dGodhGtI&api_format=3&vndel=watch

Rather than advocate helmet use we should be lobbying for better laws and infrastructure for cyclists.

I agree with your comments completely in relation to infrastructure and laws, but as we know there are numerous drivers who dont either care or cant be bothered. In the short term a helmet will cost 60 - 100 quid whereas infrastructure changes are in the region of billions.

It should be a long term goal but there is no way on this earth that the present govt will sanction money to be spent in that amount when they are cutting back everything (apart from effects them).

Avatar
Saved by a helm... replied to Stumps | 11 years ago
0 likes

Thanks Giff

True Words!

Avatar
hippy69 | 11 years ago
0 likes

The wearing of helmets always seems to provoke the same old arguments.

I work as a nurse in a major trauma centre in London, and have been riding road bikes for most of my life. I never wore a helmet for years including 5 years as a cycle courier. I thought they looked s**t and doubted their ability to protect me.

So what made me change my mind? Frankly, seeing people die from preventable head injuries. People like me, out for a ride with friends or training alone. Pushing it too hard or just having the shit luck to be come across some idiot who isn't paying attention. I have also seen numerous men and women airlifted into my ER with serious isolated head injuries, whose lives are changed for ever due to their brain injury, maybe not 'dribbling' but functionally their lives have changed forever, and don't forget that of their families! Importantly, I've also seen many people walk out of hospital after having serious crashes with extensive damage to the helmets they have been wearing. The forces involved in crushing a cycle helmet are huge. NO helmet and those forces are applied directly to your skull.

I can also cite my own experiences of stacking the bike in a big way. My own helmet prevented a serious brain injury when I hit a parked truck (parked in a no parking zone) at full sprint. Mark Cavendish I am not, but fast enough, I hit the truck head first at 45-50km an hour. I broke my jaw and had multiple cuts and bruises, but nothing that was going to kill me, The helmet was screwed, there was a 2" dent in the frontal area, and extensive damage/spiderwebbing to the polystyrene over a much wider area. If I had not been wearing the helmet, who knows what I might be like now, the general view of neurosurgeons I work with is I'd probably be f***ed!

I'm not going to preach, or demand that laws should be changed, but personally, my lid goes on my head any time my bike hits the road.

Those that don't want to wear helmets carry on pulling out your evidence that they don't save lives, it's your choice.

Avatar
Saved by a helm... replied to hippy69 | 11 years ago
0 likes

Thank You Hippy69.

I think people who are on the receiving end IE:ER nurses and first responders of these broken people have a different perspective on things.

Peoples lives can change in an instant.

Death is so long term too.

You summed it up well.

Be safe out there,
Jeff

Avatar
Paul J | 11 years ago
0 likes

Given you were a fire-fighter/EMT, you presumably also have seen lots of vehicle occupants with head injuries after crashes. Do you also recommend that people wear crash helmets when they drive their cars? If you do not, why not?

I believe that evidence shows cigarettes significantly increase the risk of a number of health problems including cancer, that the global climate is warming and is caused by man-made emissions (do you?), the earth is a spheroid, and that cyclist and pedestrian safety, along with public health overall is best served by engineering the roads - the helmet debate is at best a distraction from that.

Indeed, I know the evidence shows that cultures which invest their cyclist-safety faith in helmets have *worse* cyclist safety records than those which instead engineer the environment around the cyclist.

It's a *FACT* that the Netherlands has extremely low rates of helmet usage (near-0, other than amongst the youngest of children) compared to high-use countries like AU, UK and USA, while the Netherlands has much *better* safety.

The anglo-saxon helmet fetish has _provably_ *failed* to deliver safer cycling.

Avatar
Saved by a helm... replied to Paul J | 11 years ago
0 likes

Most of the head injured people I saw in vehicle accidents were not wearing seat belts. The same genre of people who smoke and don't wear bicycle helmets.
As a society we all pay for others mistakes. whether the friends or loved ones have to become caregivers, or when our health insurance rates go up to cover the under-insured. (That is in the US).
I have no idea why Holland has less injuries. Don't they totally separate the drivers from the cyclists?
As far as road engineering goes, I was on a 2 meter wide shoulder when I was struck in Montana. I was less than a half meter from the edge. The sedan and it's careless driver went off the road to smear me on his windshield. No engineering can make up for careless idiots.
After over 250,000 miles of lifelong riding, I am still wondering when road cycling has become a full-body contact sport.

Avatar
felixcat replied to Saved by a helmet twice | 11 years ago
0 likes
Saved by a helmet twice wrote:

Most of the head injured people I saw in vehicle accidents were not wearing seat belts.

Really? I don't believe it. What about the pedestrians?

"I have no idea why Holland has less injuries. Don't they totally separate the drivers from the cyclists?"

It is not just NL. We in GB have a lower rate of cycle casualties than USA, Canada, Oz, SA. but a higher rate than NL DK. It really is the case that the helmet law and helmet wearing countries have a higher rate of cyclist casualties than the low rate of helmet wearing countries. Helmet wearing just does not work as well as whatever it is these N.European countries are doing. Helmet wearing is plainly a lot less effective than other ways of reducing cycle casualties. Why is there so much weight put upon this ineffective precaution? I think it is a distraction and a substitute for the effective actions. The problem is probably that the effective measures might impact upon motorists.
Nearly every motorist in GB wears a belt, but their casualty rates per hour are not greatly different to cyclists'. Most road head injuries are suffered by people in cars, but for some reason it is thought absurd that they should wear helmets.

Avatar
Saved by a helm... replied to felixcat | 11 years ago
0 likes

we are beating this horse to death.
I choose to wear a helmet and I know it saved my life twice. If you saw the smashed helmet, you might become a believer too.
In the U.S drivers actually veer toward riders every now and then. Go figure!

Avatar
felixcat replied to Saved by a helmet twice | 11 years ago
0 likes

If British cyclists want to see safer roads for cyclists, and I'm sure we all do, it beats me why we should want to follow the example of the countries which have a high casualty rate for cyclist, and not those which have a low casualty rate.
Helmet advocacy is a symptom of dangerous roads, not a cure. I can understand why cyclists want to believe that helmets will make them safe, but a scrap of polystyrene is really not much defence against a ton of carelessly handled steel.

Avatar
Saved by a helm... replied to felixcat | 11 years ago
0 likes

Felixcat

My head would have been smashed like a crushed watermelon without that tiny bit of plastic.

safer roads? how about safer drivers?

Avatar
Gkam84 | 11 years ago
0 likes

I'm sure that one of the reviewers would be more than happy to read and review your book. It does look interesting.

Drop the owners a line at info [at] road.cc and i'm sure they will help you out  3

Avatar
Gkam84 | 11 years ago
0 likes

Start with a story that will cause mixed opinions and open up discussions, then try to spark more debate by carrying on and making points about seatbelts.....

Then as the comments stop coming in, reveal that you have written a book all about your cycling travels and not just 1 but 5.

I like it, very clever and I am not trying to take anything away from the helmet debate either. I think its a very valid debate that needs scientists behind it.

You could have just sent one of the reviewers for the site a copy of your book and good a nice review out of it  3

But I doubt you need reviews having won a 2012 IPPY (Independent Publishers) Gold Medal Award  26

Avatar
Saved by a helm... replied to Gkam84 | 11 years ago
0 likes

Can I still send a copy to somewhere for a review?
It is a good/great book about bicycle riding across the US the long way. It is hard to get the word out though.

I never realized that my innocent article on getting almost killed on a bike would cause so much of a stir. I guess the people in GB are more opinionated than I thought!

Be safe and no matter what the so called experts know, a helmet saved my life twice. That is a fact.

Best wishes,
Jeff

Avatar
felixcat replied to Saved by a helmet twice | 11 years ago
0 likes
Saved by a helmet twice wrote:

Be safe and no matter what the so called experts know, a helmet saved my life twice. That is a fact.

Jeff

No, it is an opinion.

Avatar
Saved by a helm... replied to felixcat | 11 years ago
0 likes

felixcat.
please throw you (without a helmet) and your bike in front of a sedan and see how you fare?

Thanks!

Avatar
felixcat replied to Saved by a helmet twice | 11 years ago
0 likes
Saved by a helmet twice wrote:

felixcat.
please throw you (without a helmet) and your bike in front of a sedan and see how you fare?

Thanks!

After you. You may wear your helmet.

Avatar
giff77 | 11 years ago
0 likes

I'm really glad that you survived this awfull episode of your life and are well on the road to recovery. Helmet wearing or not; vunerable road users will never be safe until motorists are educated on how to drive in a manner which keeps those not surrounded by several tons of metal.

The nations that appear to be strongest on helmet compulsion the USA, Canada, UK, Australia, NZ and SA are also some of the most car-centric nations in the world. These same naations all appear to have the mentality of I have a car therefore I'm better than you and have nothing in place to protect vunerable road users. Compare that with some of the European countries where bicycles are a viable means of transport and legislation is in place to protect the cyclist and pedestrian. This extends to the non-urban roads where there is no infrastructure. Cycle in the mountains in Spain and a vehicle behind will wait till safe to pass and give you plenty of room. Here in Scotland I've had to pull in because of some idiot behind me gunning his engine impatient to overtake.

Helmets are a red herring, they fool motorists into thinking that you are 'protected' and do not change motorist behavior towards cyclists one iota.

Avatar
Saved by a helm... replied to giff77 | 11 years ago
0 likes

Thanks for your comment about my survival.

I was struck twice while wearing a day glow neon yellow shirt, the kind that highway workers wear to get driver's attentions. It did not make a difference. Drivers don't notice whether you are wearing a helmet or not.
They hit cyclists because they are careless, distracted or just bad drivers. it has become open season on cyclists because too many people are trying to share the roads.

I don't ride as much as I used to. I once road 10,000 K from San Diego, California to Maine. I even wrote a book about it.

http://www.amazon.com/s/ref=sr_nr_seeall_1?rh=k%3Ajeff+sambur%2Ci%3Astripbooks&keywords=jeff+sambur&ie=UTF8&qid=1322747084

Be safe out there.
Jeff

Pages

Latest Comments