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Helmets again - evidence suggests they work
 Poster: A snowHead
Poster: A snowHead

An article in the BMJ reports evicence from Canada of the value of helmets in reducing the severity of head injuries. Interestingly from the East Coast wher there is probably more bullet hard snow on which to hit one's head.

Conclusions Helmets protect skiers and snowboarders against head injuries. We cannot rule out the possibility of an increased risk of neck injury with helmet use, but the estimates on which this assumption is based are imprecise. the commentary so far about this paper runs:

It may be that Hagel et al may be overstating their case a bit. Their discussion states: "Wearing a helmet while skiing or snowboarding may reduce the risk of head injury by 29% to 56%—that is, for every 10 people who wear helmets, three to six may avoid head injuries". Indeed they may, if the incidence of head injuries among non-helmet wearing skiers and snowboarders is 100%. I suspect the real figure is rather lower than that! The absolute reduction in risk is the figure that would influence my decision about wearing a helmet. My guess is that this number will turn out to be small - 29 to 56% of not much. It shouldn't be too hard to reach an estimate of this in terms of injuries per days spent on the snow - the 19 resorts undoubtedly have figures for how many people used their lifts during the season in question.

Competing interests: Non-helmet wearing skier
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