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Doctors on Helmets

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RickI
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Doctors on Helmets

Postby RickI » Fri Jun 04, 2010 9:00 pm

This was published in September last year, just came across it however. Been discussing helmets again recently, trauma surgeons weigh in on the question. An Internet translation appears below followed by the story in German.

"Doctors call for Helmet for kite surfers

In the summer months hardly a day goes by without an abortive Kite
Surfer in the emergency room of University Hospital in Greifswald is placed.
The Bay of Greifswald considered an insider tip for the sportsmen, it is
virtually on the hospital door. "In the high season we see every day a
injured riders, "said the head of trauma surgery, Axel Ekkernkamp. The
Spectrum of injuries is wide: cuts on hands or Feet, sprains, fractures, knee and head injuries. "What makes us worry, is the most severe injury - death, "says the vice president of the German
Society of Trauma Surgery.

According to the doctors, the number of accidents at kite-surfing in the
recent years increased considerably. The reason: The Trendsport finds more and more
Popularity - even with less experienced. Accident such as medical Ekkernkamp advocate
Therefore, by analogy to similar claims for a skiing helmets for riders
made to minimize mainly the serious accidents. Moreover, should tighter
Admission to the kite are - the doctors call a
mandatory driver's license. Spectacular accident on the Baltic coast as 2002, the
Death of the reigning world champion in kite-Zingst are subject for discussion at the
Scene: The kite of the 26-year-olds and one other athlete had
catch each other. The surfer was at a phenomenal rate over the
Water and then over two wooden groynes drawn. It suffered a multiple trauma and died
at the scene. Legal physicians and trauma surgeons as Eberhard Lignitz the
Uni Greifswald described in a recent study, the severity and diversity
typical kite injury. Only a week ago, a woman in Wismar
a gust of wind with her sails torn kite in the air and suffered serious
Head injuries.

According to studies, the risk of injury when kiting with five to seven
Injuries per 1,000 hours of sports similar to skiing, such as the
Unfallchirurg Jorn Lange reported. In comparison with contact sports such as football
(20 injuries per 1000 hours) or hockey (43 injuries in 1000
Hours) appears to the risk of injury initially low. Other studies
however, show that just the head of pus under the foot and ankle
one with 13.7 percent of the most frequently injured body regions. "The accident
Dieter Althaus, the skier has sensitized to wear a helmet, "says
Lange.

The Extreme is the trend. According to estimates by the Association of German
Water sports (VDWS) are available in Germany since about 15 000 active
Kite-surfers, of which some 7,500 trained with a license for a VDWS
certified teachers have been completed. Where to learn the other riders the sport
is unknown. "The accidents also employ us," said spokesman Claus VDWS
Baalmann. The association is in favor of a helmet recommendation. A duty to
Head protection is the association too far. "We rely on the
Personal responsibility of the athlete, "says Baalmann.

The kite scene is demanded by researchers as little wear helmets
unenforceable. The plastic helmet is considered uncool. "If a helmet and
Vest bears, throughout the scene as a beginner, are established by VDWS
Kite-certified teachers Janko Borgwardt from Born on the Darß
widespread opinion of the riders again. For the owner of the kite school
ProBoarding in small Zicker (Rügen), Haiko Milke, offer a false sense of helmets
Security. Instead of helmet is Milke, whose school this year, about 100
Kiter trained, on a consistent safety training. "This is not even
not to prevent injury. "A" license "- as experts from the accident
proposed - is the view of the kite-teacher the best way to prevent accidents to
. Minimize Already give schools such as kite-only equipment ProBoarding
out if students can prove a license.

Trauma surgeons as Axel Ekkernkamp extends the view of the extreme
Speeds of the riders on the water is not enough. "I'm saying: just kiting
with a helmet. ""
http://www.kma-online.de/nachrichten/po ... _view.html

Original article:


UNFALLMEDIZIN:
Ärzte fordern Helmpflicht für Kite-Surfer

In den Sommermonaten vergeht kaum ein Tag, an dem nicht ein verunglückter Kite-Surfer in die Notaufnahme des Greifswalder Universitätsklinikums gebracht wird.
Der Greifswalder Bodden gilt als Insider-Tipp für die Trendsportler, er liegt quasi vor der Klinikumstür. "In der Hochsaison sehen wir jeden Tag einen verletzten Kiter", berichtet der Leiter der Unfallchirurgie, Axel Ekkernkamp. Das Spektrum der Verletzungen ist weit gefächert: Schnittverletzungen an Händen oder Füßen, Zerrungen, Brüche, Knie- oder Kopfverletzungen. "Was uns Kummer macht, ist die schwerste Verletzung - der Tod", sagt der Vizepräsident der Deutschen Gesellschaft für Unfallchirurgie.

Nach Einschätzung der Mediziner sind die Unfallzahlen beim Kite-Surfen in den letzten Jahren deutlich angestiegen. Der Grund: Der Trendsport findet immer mehr Zuspruch - auch bei weniger Geübten. Unfallmediziner wie Ekkernkamp sprechen sich deshalb analog zu ähnlichen Forderungen im Skisport für eine Helmpflicht für Kiter aus, um vor allem die schweren Unfälle zu minimieren. Zudem sollten strengere Zugangsvoraussetzungen für das Kiten gelten - die Ärzte fordern einen verbindlichen Führerschein. Spektakuläre Unfälle an der Ostseeküste wie 2002 der Tod der amtierenden Kite-Weltmeisterin vor Zingst sind Gesprächsthema in der Szene: Die Lenkdrachen der 26-Jährigen und eines weiteren Sportlers hatten sich ineinander verfangen. Die Surferin wurde mit rasanter Geschwindigkeit über das Wasser und dann über zwei Holzbuhnen gezogen. Sie erlitt ein Polytrauma und starb noch am Unfallort. Rechtsmediziner wie Eberhard Lignitz und Unfallchirurgen der Uni Greifswald beschreiben in einer aktuellen Studie die Schwere und Vielfalt typischer Kite-Verletzungen. Erst vor einer Woche wurde eine Frau bei Wismar von einer Windböe mit ihrem Kite-Segel in die Luft gerissen und erlitt schwere Kopfverletzungen.

Studien zufolge ist das Verletzungsrisiko beim Kiten mit fünf bis sieben Verletzungen pro 1000 Stunden Sport vergleichbar mit dem beim Skifahren, wie der Unfallchirurg Jörn Lange berichtet. Im Vergleich zu Kontaktsportarten wie Fußball (20 Verletzungen auf 1000 Stunden) oder Eishockey (43 Verletzungen auf 1000 Stunden) scheint die Verletzungsgefahr zunächst gering. Andere Untersuchungen belegen jedoch, dass gerade der Kopf des Kiters nach den Fuß- und Sprunggelenken mit 13,7 Prozent zu den am häufigsten verletzten Körperregionen zählt. "Der Unfall von Dieter Althaus hat die Skifahrer sensibilisiert, einen Helm zu tragen", sagt Lange.

Der Extremsport liegt im Trend. Nach Schätzungen des Verbandes Deutscher Wassersportschulen (VDWS) gibt es in Deutschland inzwischen rund 15 000 aktive Kite-Surfer, von denen rund 7500 ihre Ausbildung mit einer Lizenz bei einem VDWS-zertifizierten Lehrer abgeschlossen haben. Wo die anderen Kiter den Sport erlernen ist unbekannt. "Die Unfälle beschäftigen auch uns", sagte VDWS-Sprecher Claus Baalmann. Der Verband spricht sich für eine Helmempfehlung aus. Eine Pflicht zum Kopfschutz geht dem Verband jedoch zu weit. "Wir setzen auf die Selbstverantwortung des Sportlers", sagt Baalmann.

In der Kite-Szene wird die von Forschern geforderte Helmpflicht als kaum durchsetzbar angesehen. Der Plastikhelm gilt als uncool. "Wer einen Helm und Schutzweste trägt, gilt in der Szene als Anfänger", gibt der durch den VDWS zertifizierte Kite-Lehrer Janko Borgwardt aus Born auf dem Darß die weitverbreitete Meinung der Kiter wieder. Für den Betreiber der Kite-Schule ProBoarding in Klein Zicker (Rügen), Haiko Milke, bieten Helme eine trügerische Sicherheit. Statt auf Helm setzt Milke, dessen Schule in diesem Jahr rund 100 Kiter ausbildete, auf ein konsequentes Sicherheitstraining. "Damit es erst gar nicht zu Unfällen kommt." Ein "Führerschein" - wie von den Unfallexperten vorgeschlagen - ist aus Sicht der Kite-Lehrer der bessere Weg, um Unfälle zu minimieren. Schon jetzt geben Kite-Schulen wie ProBoarding Ausrüstungen nur heraus, wenn Schüler eine Lizenz nachweisen können.

Unfallchirurgen wie Axel Ekkernkamp reicht das angesichts der extremen Geschwindigkeiten der Kiter auf dem Wasser nicht aus. "Ich bleibe dabei: Kiten nur mit Helm."
Last edited by RickI on Sat Jun 05, 2010 12:52 am, edited 1 time in total.

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Re: "Doctors call for Helmets for kitesurfers"

Postby frankm1960 » Fri Jun 04, 2010 10:47 pm

I never see skate boarders wearing helmets. There's probably a lot more skateboarders than kiters in most cities. Skateboarders have been around a lot longer than kiteboarders. The only time I see skateboarders wearing helmets is in competitions I see on TV.

Skate boarders play mostly on paved roads, concrete sidewalks and steps from what I have seen.

Kiteboarders play mostly in water.

I never see a jet ski or motor boat operator use a helmet but then they play mostly in water, although a motor boat operator could fall on the slippery deck and hit their head pretty hard I bet.

For me I think wearing a helmet might save my life if I fall while I'm busting my big heal to toe turns (there are big rocks I kite over during high tide) but I think there's a better chance of me getting my head bashed in by falling on an icy sidewalk (they do get bad around here in the winters) or by a car operated by someone whose texting on their cell phone or by me just driving into a pole not paying attention. I think on average I'm more alert when I'm kiting, water is darn cold here. It's impossible to not be alert.

I might pick up a helmet but I can't get past the fact that I fall face first a lot in the water and the helmet might snap my pencil neck in half.

They might be a good idea for land boarders. I use one all the time snow kiting though.

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Re: "Doctors call for Helmets for kitesurfers"

Postby RickI » Fri Jun 04, 2010 11:53 pm

The article based upon opinions of trauma doctors who treat kiting injury victims, would even expect some skateboarders too along with others with traumatic injuries. Not trying to shove this down anyone's throat, what good would it do? Just presenting some information, in this case some informed opinion from some medical professionals.

Speaking of accurate information, vs. reasonings, the accident experience in kiting doesn't really support some of your conclusions. Recommend looking over the accidents, what was hurt and how and make your decision based upon that. In some ways this is akin to arguing about the merits of penicillin decades back in non-allergic patients. Whether to use it or rely upon sulfa drugs for fighting certain infections. We have options even for that today. It still comes down to rider choice.

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Re: "Doctors call for Helmets for kitesurfers"

Postby Kamikuza » Sat Jun 05, 2010 12:07 am

Many people are aware of this and wear helmets off their own bats.
If this is a drive to regulate, license or control - I'm against it.

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Re: "Doctors call for Helmets for kitesurfers"

Postby RickI » Sat Jun 05, 2010 12:13 am

Who would regulate it? No one that I can think of. It is just for information, old news on top of that.

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Re: "Doctors call for Helmets for kitesurfers"

Postby SBBeachbum » Sat Jun 05, 2010 1:17 am

frankm1960 wrote:I never see skate boarders wearing helmets. There's probably a lot more skateboarders than kiters in most cities. Skateboarders have been around a lot longer than kiteboarders. The only time I see skateboarders wearing helmets is in competitions I see on TV.
.

We have a skate park next to the beach and I have never seen a skater in there without a helmet. Maybe the skaters in my town are smarter than the skater in yours.

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Re: Doctors on Helmets

Postby OzBungy » Sat Jun 05, 2010 1:27 am

Street skaters here don't wear helmets but all riders in skate parks do. I think it's a PR thing. Park skaters are aware of the bad reputation of skaters so they over compensate to demonstrate good behaviour. Apparently they also self-police bullying and look after the younger kids so it's all good.

Trauma surgeons are always calling for people to wear helmets. They are the ones who have to scoop all the mushed up brain matter and tip it back into what's left of your skull.

Unfortunately surgeons are not engineers (more like tradesmen when you think about it. :wink: ) so their opinion on helmet use is no more valid than the general public.

I have tried all the popular helmets on the market and none of them are any good for kiting. They're all too heavy. Too floppy. Can't be made to fit properly. Too much wind noise. Too uncomfortable. I would love it if a decent helmet were invented specifically for kiting.

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Re: Doctors on Helmets

Postby RickI » Sat Jun 05, 2010 3:41 am

Some related information on sports-related head injuries via the CPSC with USA statistics for lots of activities. The U.S. Consumer Product Safety Commission (CPSC) tracks product-related injuries through its National Electronic Injury Surveillance System (NEISS) http://www.neurosurgerytoday.org/what/p ... sports.asp

For folks that are interested this has some comparative hospital head injury treatment info. For instance, Skateboards/Scooters: 18,324 head injury cases treated in hospital ERs in 2008. There were 70,802 head injuries treated in hospital ERs that year for cycling. Why would these folks want to wear helmets?

Some more about bicycling and traumatic brain injury (TBI).

"Cycling
Every year, more than 500,000 people visit emergency rooms in the United States with bicycle-related injuries. Of those, nearly 71,000 were head injuries in 2008. There are about 600 deaths a year, with two-thirds being attributed to TBI. It is estimated that up to 85 percent of head injuries can be prevented through proper usage of SNELL, American National Standards Institute (ANSI) or American Society for Testing and Materials (ASTM)-approved helmets. It is essential that the helmet fit properly so that it doesn’t fall off while riding or if you take a fall."

More stuff to consider.

It is important that any helmet you consider using for kiting be appropriate for that activity, fit well and be comfortable, be well secured, light, have low drag and lack unnecessary drag producing fixed projections, not entrain excess water and have a good shell and padding. Kiting is a whiplash prone activity, with or without helmets. Weak necks or those with pre-existing neck injuries may not be compatible with the demands of kiting.

FKA, Inc.

transcribed by:
Rick Iossi

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Re: Doctors on Helmets

Postby icebird » Sat Jun 05, 2010 8:31 am

I'm all for wearing helmets while kiting.

But to get the discussion into perspective the standards approved helmets are for kayakers rolling over and hitting a rock, not kiters flying through the air at 50km/t.

So helmets reduce injury, but they are not appropriate for the chosen activity. Bicycle and motorcycle helmets self-destroy on impact, water helmets do not.

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Re: Doctors on Helmets

Postby ronnie » Sat Jun 05, 2010 9:33 am

The first helmet I used was a one-size-fits-all which had a big shell and you adjusted the straps and lining. It acted like a bucket in the water and moved around a lot.
I now have tight fitting helmet like this one, which is close to as small as would be practical.
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