Hi - I've mentioned this on different contexts in NG's before. I'm a
trauma surgeon with 26 years under my belt (counting residency and
fellowships) and have treated about 30,000 major trauma victims. While
it's true that there are 750 bicycling fatalities annually, most of
them are not what we would consider 'cyclists.' Most of the bike
fatalities and serious injuries that I've seen in people who are
intoxicated, riding in ill-advised areas, no lights at night, etc. I
won't even touch the helmet war, but you can infer what my position
is.
In all this time, I've taken care of '3' real cyclists with serious
injuries and no fatals, and I live/work in an area with plenty of
recreational cyclists and racing. Tour of Somerville 1994 a pack
crash, guy got rran over by the peleton and got a serious liver
injury. I've seen one trathlete struck by a truck, major chest injury,
recovered well and one woman recreational cyclist who crashed at the
bottom of a long descent on gravel and had a serious head injury.
Beyond that, the typical 'cyclist' and all the faytalities I've seen
are at 3 AM, UDS shows cocaine/cannabinoids/ and/or narcotics with or
without alcohol, riding without lights into traffic, etc.
True, as cyclists we generate a lot of fractures, etc., for the
orthopaedists and ED docs, but an experienced rider rarely generates
life threatening injury. On a personal level, I'm relatively risk-
averse (I have a wife, three kids, and a heavy professional societal
responsibility.) I have no qualms that I put any of it at risk by
riding and racing. The only time I ever had any doubts was during my
brief Cat V stint before being able to upgrade to Master's racing. If
all racing was that sketchy, I wouldn't have been comfortable
continuing.
YMMV. Be safe out there.
Lou D'Amelio
BTW: almost everyone in health care has referred to motorcyclists as
'organ donors' as long as I have been around. Nothing new. Nobody
thinks of cyclists in that context. In fact, we 'contribute' so little
to trauma care that most people in health care don't even identify us
as a distinct subculture.