Essential E-rider Safety Tips from Trauma Prevention Nurse

KEARNEY, NE–E-bikes and e-scooters are exploding in popularity — fast, fun, and seemingly everywhere. But a disturbing trend is emerging: young riders, often without proper skills, knowledge of traffic laws or even a helmet, are hopping on these powerful machines. And ERs across the nation are reporting surges in severe injuries.

“E-rides may look like toys, but they’re heavy, high-speed machines and crashing at 28 mph isn’t like falling off a bike,” said Tracy Rademacher, RN, Trauma Prevention, CHI Health Good Samaritan. “Within our region, ER visits to our organization have risen by 80% since 2024. We’re seeing kids and teens with brain bleeds, skull fractures and neck trauma. Not just the scrapes and bruises from a typical 5 to 10 mph bicycle accident.”

Most health experts agree, helmets are a non-negotiable safety must-have for any rider on any bike, scooter or e-ride. And crucially, the helmet’s protection must match the vehicle’s speed potential.

“Standard bicycle helmets often fail at these higher speeds,” Rademacher said. “E-riders should consider helmets specifically designed and rated for the expected speed of impact. For speeds exceeding 28 mph, a full-coverage motorcycle helmet is recommended.”

Because certain e-rides are legally classified as standard bicycles, riders are often permitted on roadways without a license, insurance or a helmet. Safety initiatives are further complicated by local rules that can vary across different municipalities, parks, trails and rental businesses.

“Unfortunately, ever evolving tech may have outpaced our safety regulations,” Rademacher said. “And navigating varying ordinances and vehicle classifications can be challenging for parents who are just trying their best to keep their kids safe.” 

To empower parents, Rademacher suggests a back-to-basics approach:

The Right Fit: Make sure the helmet fits correctly (sitting flat and low on the forehead with a snug chin strap) and is rated for the expected speed of impact. The e-ride must fit the child, allowing them to comfortably touch the ground for control.

Road Smarts: Educate young riders on sidewalk etiquette, relevant traffic laws and local ordinances. They must possess the skill and ability to safely navigate intersections, use hand signals, accurately judge approaching traffic and make safe, defensive riding decisions, especially at higher speeds.
Be Visible: Increased speed leaves motorists with less reaction time and shorter stopping distances making visibility crucial. Encourage light-colored or reflective clothing. Teach riders to ALWAYS assume drivers cannot see them.

For many health experts, an ideal minimum age for e-riders is 16.

“If a child lacks the skills to safely operate a bicycle, or you would seriously hesitate to let them use a motorcycle, they are not prepared for the speed and responsibility of an e-bike or e-scooter,” Rademacher said. “Especially without a proper helmet.”