But with the excitement comes a real concern. Across the country, doctors are seeing more e-bike and e-scooter-related injuries, especially in kids and teens. These injuries tend to be more serious than those from traditional bicycles, often involving the head or legs.
"During each shift, I see at least one e-bike or e-scooter injury, and most of these patients aren't wearing helmets,” said Jose Ponce-Rios, MD, medical director of Pediatric Emergency Services at Lowell General Hospital. “The American Academy of Pediatrics recommends that no one under 16 years old should ride an e-scooter."
In February 2024, US researchers from the Journal of the American Medical Association (JAMA) reported a dramatic 49-fold increase in e-bike riders with head trauma over the past five years, attributing this to a lack of safety regulations like mandatory helmets, speed limits and age restrictions.
- Higher speeds: E-bikes and e-scooters can reach high speeds with minimal effort, reducing reaction times and increasing the risk of collisions.
- Increased weight: The heavier battery in e-bikes can lead to faster acceleration and loss of control, especially downhill.
- Lack of regulation: E-bike classification and regulations vary widely across states and municipalities, causing confusion about laws and increased risk.
Safety tips
While you can't avoid all accidents, taking these precautions can make a big difference:
- Always wear a helmet. Although not legally required, helmets can prevent many head injuries.
- Obey traffic laws. E-bikes follow the same rules as bicycles. In Massachusetts, use bike lanes and understand who yields to whom.
- Be visible. Wear bright clothing, use reflectors and lights at night to be seen by traffic.
- Ride defensively. Assume cars may not see you or misjudge your speed. Stay alert.
- Start slow. If you're new to e-bikes, practice in a safe area before riding on busy streets.
- Check your equipment. Ensure brakes work, tires are properly inflated and lights are functioning before each ride.
If you have concerns about whether e-bikes and e-scooters are a safe transportation option for your family, speak with your child’s pediatrician. We’re here to help.
