Skateboarding Safety

If your children are starting out the New Year by "breaking in" the new skateboards they received as holiday gifts, it's important to be sure they are also educated about skateboarding safety. While the sport has continued to grow in popularity, so have the number of skateboard-related injuries, particularly among children and teens not wearing protective gear. According to the National Safety Council, first-time boarders - those who have been skating for less than a week - account for a whopping one-third of the 50,000 skateboarding injuries treated in hospital emergency rooms each year. While the most common injuries are minor sprains and fractures, some are serious head injuries that can result in permanent impairment or even death. So whether you're new to the sport or a professional like Tony Hawk, wearing a properly-fitting helmet can keep you doing grinds, kickflips and ollies for many years to come.

SKATEBOARDING SAFETY IS THE BEST DEFENSE AGAINST SERIOUS INJURY

LOS ANGELES (January 5, 2005) - Nicolas Hillman's (Los Angeles, Calif.) mother describes her 18-year-old son as someone with "amazing agility" who skateboarded and played roller hockey for more than 10 years without experiencing anything more than a scraped knee. That's why she wasn't prepared for what she saw in Cedars-Sinai Medical Center's intensive care unit in late August, 2004.

"My heart stopped," Mrs. Mei Ling Hoo recalls of that early Sunday morning. Half of Nicolas' long hair had been shaved off and "something was coming out of his head that looked like an antenna." He was conscious but was lethargic and not acting like himself.

Nick remembers only some of that Sunday morning. "I was riding down a steep hill on a skateboard that I had borrowed from someone at the park. All of a sudden, I began losing control of the board and I started swerving and wobbling. I'm not sure what happened but the next thing I remember I woke up in the emergency room."

Ali H. Mesiwala, M.D., a neurosurgeon at Cedars-Sinai's Maxine Dunitz Neurosurgical Institute, was called to examine Nick, who was not wearing a helmet when he was injured. A CT scan showed Nick had a left-sided skull fracture and a very thin epidural hematoma. "Noting emergently surgical to worry about at the time," Dr. Mesiwala said, but his conditioned worsened over the next 12 hours.

Nick was transferred from the emergency room to the intensive care unit and during the next 12 hours he became more and more lethargic. A second CT scan showed that the hematoma had expanded significantly and was causing massive pressure on his brain. Nick was immediately scheduled for surgery where Dr. Mesiwala removed the blood clot, sealed off the blood vessel that was bleeding, and repaired Nick's skull fracture.

"Injuries like Nick's are becoming significantly more common as kids become more aggressive in what they can do on a skateboard," says Dr. Mesiwala. "The technology has advanced and that's allowing them to do things they couldn't do before."

According to the American Academy of Orthopaedic Surgeons, each year in the U.S. skateboarding injuries cause about 50, 000 visits to emergency departments. More than 1,500 children and adolescents need to be hospitalized. Most of the hospitalizations involve head injuries. Some heal quickly and others lead to disabilities including loss of vision, hearing and speech and changes in thinking and behavior. Some injuries lead to death: in most of those cases the rider was not wearing a helmet

Properly-fitting helmets are the best defense against serious head injuries. The National Safety Council warns that not all helmets are created equal and picking the right helmet for a sport is important. The Bicycle Helmet Safety Institute suggests buying a brand and size that fits well prior to adjustments, and then using the adjustable straps and/or sizing pads to ensure a snug fit. It also recommends that parents select a helmet that fits their child now, not a helmet to "grow into."

Realizing that it can be difficult to impress on teens the importance of wearing a helmet, Dr. Mesiwala contacted someone he knew whom Nicolas and his friends admired - internationally-renowned champion skateboarder Tony Hawk.

Hawk said, "I wear helmets for protection after being knocked unconscious more than six times in my career. You never know what can happen, especially when you're starting out. I could have easily died without one."