Dr. Caitlin O'Brien of the Johns Hopkins Children's Center released safety guidance to help parents protect children riding bikes and scooters.
These precautions are critical to prevent pediatric head injuries and other trauma associated with wheeled transport. As more children use these devices for recreation and transit, the risk of preventable accidents increases.
O'Brien, the director of pediatric neurocritical care at the Baltimore, Maryland, facility, focused on injury-prevention practices. The guidance aims to reduce the frequency of severe accidents that result in hospitalizations at centers like Johns Hopkins.
Safety measures include the consistent use of properly fitted helmets and ensuring children follow traffic laws. O'Brien said that proactive safety habits can mitigate the risks associated with both traditional bicycles and motorized scooters.
While the guidance focuses on prevention, the dangers of these devices are highlighted by recent reports of accidents. One reported incident involved a 13-year-old [1] who suffered a crash while using an e-scooter.
O'Brien said that parents should remain vigilant about where their children ride and the speed at which they travel. The guidance emphasizes that the environment, such as sidewalk quality and traffic density, plays a significant role in child safety.
Medical professionals at the center advocate for a combination of protective gear and parental supervision. This approach seeks to balance the developmental benefits of outdoor activity with the necessity of neurological protection.
“Proactive safety habits can mitigate the risks associated with both traditional bicycles and motorized scooters.”
The emphasis on pediatric neurocritical care highlights the high stakes of wheeled-transport accidents, where a single fall can lead to permanent brain injury. By shifting the focus toward preventative guidance, medical institutions are attempting to reduce the burden on emergency departments and improve long-term health outcomes for minors.



