With increased bicycle use and the consequent increase in related injuries in the United States, we, as cyclists, recognize the need for improved bicycle safety. Like Dr Selbst and colleagues,1 we have put many hours of observation and research into studying this subject. Whereas their research took place in an emergency room, ours covered hundreds of miles of road. As high school juniors who have been riding seriously for three years and who have both been involved in automobile-related bicycling accidents, we believe that the conclusions of Selbst and colleagues are the tip of the iceberg. We offer the following personal observations from the bottom of the iceberg (also see Weiss'2 editorial).
Since this study took place in the emergency room of the Children's Hospital of Philadelphia, it is biased toward a population of younger, inexperienced riders. Selbst and colleagues1 do not mention many of the safety measures