Ski helmets reduce incidence of brain injury

It is with deep regret to hear of the recent snowboarding death in Maine. In order to decrease the incidence of skier injuries, all skiers should follow “Your Responsibility Code.” (http://www.nsp.org/1/nsp/Safety_Information/YourResponsibilityCode.asp).

In addition, ski helmets reduce the incidence of traumatic brain injury. An article printed in the Journal of the American Medical Association found that using a helmet was associated with a 60 percent reduction of potentially significant head injuries. An article in the British Journal of Medicine found a 29 percent reduction in significant head injuries for those wearing a helmet and no difference in the risk of significant neck injuries. In the review of the scientific literature it is clear that the use of a ski helmet has the potential to significantly decrease the risk of major traumatic brain injury, and likely does not change the risk of significant spine injury.

Ski patrollers are trained in safe techniques for helmet removal. This is a technique that is easy to learn and quick to perform. Delays in care that result from the removal of ski helmets are minimal.

In conclusion, based on review of the science, ski helmets do not cause harm, do not hinder ski patrollers in managing injured patients, and have the potential to significantly lower the risk of major traumatic brain injury. We strongly encourage all members of the skiing public to ski safely and wear a helmet.

Please contact me for journal references.

Michael G. Millin

Assistant Professor

Department of Emergency Medicine

Johns Hopkins University School of Medicine

National Medical Advisor

National Ski Patrol

michael_millin@comcast.net

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