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Injury Prevention

The First Steps With Bike and Helmet Safety

Bike and Helmet Safety: the few things that matter most, and the mistakes that catch people out early.

Sofia Lindqvist, MPH Public health writer 3 min read 5 views
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Car — Injury Prevention
Photo by Maxwell Davis on StockSnap · CC0

Wearing a properly fitted helmet and following the rules of the road on bikes, scooters and skateboards.

Key takeaways

  • Helmet standard: look for a label showing it meets the Consumer Product Safety Commission standard
  • Fit: level on the head, about two finger widths above the eyebrows
  • Most useful single change: Make helmet use a rule for every ride, for adults as well as children.
  • Commonest mistake: Wearing a helmet tipped back on the forehead.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Why bother

Head injuries are the most serious injuries in bike crashes, and a well-fitted helmet lowers the risk.

Start here

Start with two. Add the rest once those have stopped taking effort.

  • Make helmet use a rule for every ride, for adults as well as children
  • Ride in the same direction as traffic and obey traffic signals

Then add these

Once the first two are automatic, these are worth adding.

  • Wear bright clothing during the day and reflective gear at night
  • Check brakes and tires before riding

The numbers, in one place

Published figures for Bike and Helmet Safety
MeasureFigure
Helmet standardlook for a label showing it meets the Consumer Product Safety Commission standard
Fitlevel on the head, about two finger widths above the eyebrows
Strapsform a "V" under each ear, buckled snugly with room for no more than one or two fingers under the chin
Replaceafter any crash or impact, even if it looks fine
Riding at nightuse a white front light and a red rear reflector or light

Common early mistakes

  • Wearing a helmet tipped back on the forehead
  • Using headphones or a cell phone while riding
  • Riding against traffic

Where to go next

When to speak to a doctor

Call 911 after a crash if someone loses consciousness, has a seizure, repeated vomiting, a headache that gets worse, or weakness or numbness. See a doctor for any head injury followed by confusion, dizziness or unusual behavior.

Where this comes from

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

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Sofia Lindqvist

Public-health writer with a background in infectious disease communication. Her rule for this section: if a claim cannot be traced to a named guideline, it does not get published.

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