Transcript Coming off the bike is never nice. I never crashed a bike

No pain, no gain?
Preventing cycling injuries in a
world of expanding waist-lines.
Rob Benington
Injury Prevention Manager, Avonsafe Co-ordinator
NHS Bristol
Cycling is good for you
Physical activity is strongly associated with
improvements in:
Mental wellbeing
Risk of cancer
Weight management
Cardiovascular health
Reduced CO2 emissions/ urban liveability, etc.
NHS Bristol wants more people to cycle
more often and for longer.
Injuries are bad for
you
Injury is not inevitable
We can reduce risk of injury and
increase health benefits at the same
time.
“Injuries do not occur by chance. They are
largely preventable, non-random events, and
not “accidents”. Certain groups of people with
certain characteristics are more likely to be
injured. By studying how injuries vary within a
population, we can begin to gain an
understanding of the factors that lead to
injury, and how the risk of injury may be
reduced”.
Injury Prevention, British Medical Association, 2001.
“A total of 3,192 people were killed or seriously
injured on UK roads while riding a bicycle last year”.
The Times, 5-11-12
A total of 17,653 English cyclists were admitted to
hospital with an injury during 2011-12, an increase of
1,611 (9%) on 2010-11.
www.hesonline.nhs.uk
c. 13% of all attendances at emergency departments
are admitted.
Ormel, 1999
c. 135,700 cyclists from England and
c. 160,000 from the UK were admitted to hospital
or treated in an emergency department during 201112.
NHS Bristol, 2012
Cyclist injuries resulting in admission (England)
2011-12
Collision: Pedestrian / animal
117
Collision: Other cyclist
396
Collision: 2-3 wheeled motor vehicle
76
Collision: Car, pick up truck or van
2,450
Collision: Heavy transport vehicle or bus
180
Collision: Railway train or railway vehicle
2
Collision: Other non-motor vehicle
24
Collision: Fixed and stationary object
681
Non-collision incident
12,301
Other and unspecified
1,426
Total Cyclists
17,653
(Total car occupants)
14,573
Travel and transport injuries
96
33
99
76
14
57
3
Transport type
Others
Animal
riders
Pedestrians
Motorcycle
riders
Car
occupants
Cyclists
41
42
67
23
Non-collision injuries
17000
16000
15000
14000
13000
12000
11000
Number of 10000
admissions
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
17
65
3
Numbers of injuries requiring hospital
admission by mode of transport (2011-12)
What stops people
cycling?
Non-collision cycling incidents
• Caused 69% of cycling-injury admissions in England between
(2006-11)
• Caused c.95,000 cyclists to seek emergency treatment last
year in England
• Are preventable
• On average, cause less serious injuries than collisions but can
be fatal. (70% cause no injury that requires treatment).
• Require more research
• Impose a removable barrier to starting cycling, keeping
cycling and encouraging others to cycle.
Latest findings…
www.tinyurl.com\avonsafecycling
1.
2.
3.
Slippery road surfaces
Poor road surfaces
Kerbs and rail lines
Risk management
1. Remove the risk
2. Avoid the risk
3. Mitigate the risk
4.Accept and adapt to the risk
5. Take the risk
2. Avoidance
3. Mitigation
4. Adaptation
www.icebikes.org
5. Acceptance
– Informed
consent
(Thanks to the Highways Agency
who designed the poster)
Keeping cyclists safe,
keeps cyclists cycling.
www.tinyurl.com\avonsafecycling
[email protected]