I have just heard the Headway organisation on the Radio 4 News at One. Headway do a marvelous job helping people who have suffered non-fatal head injuries recover and resume a normal life as far as it is possible. They take over after the doctors have discharged the patient from the hospital, and help them overcome the ongoing symptoms, and as far as possible learn to lead a normal life again. The doctors can mend the body, but they can't mend permanent brain damage.
Headway's message on the radio was simple - please wear helmets they save lives and also reduce the terrible non-fatal but long lasting or permanent brain function impairment with which they deal. They quoted the
Cochrane Library review by Thompson et al which showed very substantial injury reduction.
I have witnessed a bike rider in intensive care after falling on an off-road descent and hitting his helmet protected head very hard on the dirt. He did not fracture his skull, but broke ribs, collarbone etc. Everyone said that although bits had been broken off his helmet, it had saved him from far worse injury. He did suffer some brain bruising, and benefited greatly from Headway's after care. It took him nearly a year to fully recover from the brain damage.
In the same intensive care unit I saw a man who had slipped backwards on a couple of steps hitting the back of his un-helmeted the head on the ground. His brain function was very very poor. Witnessing the effects of that simple slip up also opened my eyes to the value of precautions against head injuries. I am not advocating wearing of helmets on stairs, but it has made me look much more carefully at measures to avoid slips and consequential head injury.
Bradley Wiggins is my hero. He wears a helmet, and advises other cyclists to do so. I do what my hero advises.
As a consequence of the above, and the fact that my wife bought me a helmet and won't let me go out without it, I wear a helmet almost always even though much of my riding is at 10 mph. I can remember falling off once when I stopped right at the edge of the road and placed my left foot on the steep slope of the adjacent ditch. I did a humiliating tumble into a fairly deep ditch, but had a soft landing with no hard concrete to break my skull on. I had no helmet then. My pride rather than my body suffered. But recalling that unexpected fall, I am now always happy to wear a helmet, just in case.
I am not yet so unsteady that I have started wearing a helmet on the stairs or in the street, but on a bike, even if not wearing Lycra, it is actually sartorially acceptable to wear a helmet so I do.