hitssquad said:
Then how do people come away from car accidents with brain damage, or in comas, instead of dead?
Luck? If you still come away with brain damage, how has the helmet helped? That's what it's supposed to be preventing.
Helmets only protect at low speed collisions. Now, when a bicyclist is hit by a car, I would suppose the driver is usually slamming on the brakes and not hitting them at a full 50 or 60 mph.
Also, bicyclists are not hit by cars directly head-on. I found this and a lot of interesting information on this site:
http://www.helmets.org/henderso.htm
3.2 The kinematics of a bicycle collision
A careful field study of real-world cycle accidents was conducted in Germany (Otte, 1989). The predominant collision was between a cyclist and the front of a car. The subsequent kinematics were shown to be similar to car-to-pedestrian or motorcycle collisions. The primary impact is with the bicycle and the lower limbs of the cyclist. The body of the cyclist is then thrown up over the front of the car. Impact with the windscreen of the car is common at impact speeds as low as 25 km/h. In this study the mean collision speed was 36 km/h. The cyclist's head almost always hits the hood, the lower centre part of the windscreen or the A pillars that support the ends of the windscreen. The body of the cyclist is further injured by contact with roof structures, and at impact speeds of 55 km/h and over the cyclist is likely to be thrown completely over the car. This, of course, presents a renewed risk of head injury as the rider hits the ground.
However, I've also found contradictory information to the information cited by my first source regarding the reduction in injuries in Australia following implementation of the helmet laws, which instead suggests the reduction in injuries was actually due to a reduction in the numbers of people riding bicycles due to safety fears sparked by the initiation of helmet laws. One such site offering such evidence is this one:
http://www.magma.ca/~ocbc/hfaq.html#A4
(That site is pretty anti-helmet though, but it sure does provide an alternative view on things. Their reasons seem mostly that helmet laws deter people from riding bicycles, or for those who do wear them, gives them a false sense of security so they engage in riskier behavior.)
It also seems there are issues regarding which standards are used by various countries for certifying bicycle helmets. From the first source I provided, it seems Australia has changed their standards to address concerns with earlier helmet designs, but it seems more variable elsewhere. I'm not sure this site has the most recent information, but the Snell Memorial Foundation, which is a non-profit organization that certifies helmets claims the standards required in the US are lower than their own standards, so not all helmets are created the same.
http://www.smf.org/articles/bcomp.html
Again, this UK site concurs regarding the impact speeds for which bicycle helmets are tested:
http://www.whycycle.co.uk/safety-helmets.htm
What can a helmet do?
As with most safety orientated products, bicycle helmets have to pass certain standards prior to being allowed to be sold. What may be surprising is the exact nature of those standards.
Cycle helmets are only designed and tested to withstand an impact equivalent to an average weight rider traveling at a speed of 12 mph falling onto a stationary kerb shaped object from a height of 1 metre.
This is the equivalent of falling from your bike onto the road or the kerb edge.
Helmets are not tested nor expected to be able to offer full protection if you come into contact with a vehicle which is moving.
I have been entirely unable to find information regarding the actual speed of impact (even a good guesstimate) of a person's head with the car in collisions resulting in head injury and collisions in which the helmet prevented head injury, so I don't know how much of the effectiveness of bicycle helments preventing head injury are due to the rest of the body taking the initial force of impact and reducing the impact of the head with the car when the head finally collides.
According to Snell, there is a compromise/limit to improving the helmets further:
The other problem is, how much helmet will you wear. A good motorcycle helmet will generally provide more protection than just about any other helmet, but they are heavier and do not provide as much venting. This is OK for riding a motorcycle because in general you are not exerting as much physical energy as you would be on a non-motorized vehicle.
I also read in one of these sites, and now can't find it again (maybe it was one of the links I already closed) that if the helmets were designed to be more effective in higher speed impacts, they'd lose some effectiveness in lower speed collisions, such as a kid falling off his bicycle.
Anyway, all of this is probably pretty different from what would happen to the driver or passenger in a car who is in a crash at higher speeds and their head slams into the windshield at the full 55 mph they are traveling when the car comes to a sudden stop, or when they and the entire weight of the car crushes down on their head as the car rolls. Maybe a motorcycle helmet would help, but then it would probably limit posture with a seat back behind you that you wouldn't have on a motorcycle (the seat head rest is there to prevent neck injuries), might be restrictive of how well you can turn your head to look for obstructions, etc. Plus, cars aren't designed with all that much head room...I don't know if a tall person could fit in some cars with the added height of a helmet on their head.
I guess the bottom line is bicycle helmets are designed for the impacts that bicyclists are likely to experience, not the impacts motor vehicle drivers are likely to experience.