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Are Electric Bikes (E-Bikes) Safe for Kids?

by Phyllis Agran, MD, MPH, FAAP

Photo captured from IPD Video

Biking offers kids fun, freedom, and great exercise. But, the standard bikes that we grew up with are now being replaced by electric bikes (e-bikes) of all sizes and speeds.

Irvine students are increasingly using e-bikes to get to and from school, and for getting around town. As a result, we are seeing a dramatic increase in e-bike accidents and injuries. Physicians, police officers, and emergency medical service professionals can attest to mounting e-bike safety concerns as they treat children with minor, severe, and even fatal injuries.  

Trauma surgeons are seeing unprecedented injuries among children involved in e-bike accidents. An 11-year-old was recently treated for her third e-bike crash, suffering a leg fracture and traumatic brain injury, which will require ongoing treatment. Another child crashed into a parked vehicle, resulting in major facial injuries that has resulted in extensive reconstruction surgery. There are numerous e-bike injury studies that echo these safety concerns.

It’s been especially alarming to learn how low helmet use is among students riding e-bikes in Irvine. All bicyclists (and e-bike riders), regardless of age or skill level, should be wearing helmets, which have been proven to significantly reduce the risk of traumatic brain injuries that may result in serious acute and chronic cognitive and learning disabilities. Conventional bike helmets may be appropriate at low speeds, but when traveling at higher speeds, moped helmets are more protective.

E-bikes are motorized vehicles.
E-bikes may look like regular bicycles, but they are not. E-bikes are considerably heavier, faster, and harder to operate. That’s why we are seeing more severe injuries in children — similar to those seen among moped and motorcycle users. When an e-bike accident occurs, studies show that children have a higher incidence of head trauma and experience more severe cases of neck injuries.

E-bike operators require a specific set of skills.
E-bike operators require a different set of skills compared to traditional bicyclists. Riding an e-bike calls for extra training. It is crucial parents understand the different e-bike classifications so that the appropriate bike is purchased for a child’s specific needs and skill level.

There are three classes of e-bikes:

Class 1: The e-bike motor only works when the rider is pedaling. These bikes can reach speeds up to 20 mph.

Class 2: The e-bike includes a throttle that allows the rider to use the bike motor with or without pedaling. These bikes can also reach speeds up to 20 mph.

Class 3: The e-bike may or may not have a throttle but can reach speeds up to 28 mph or more.

NOTE: Based on developmental milestones of children, the Consumer Product Safety Commission recommends that children under the age of 12 should not operate any product that travels faster than 10 mph.

California has e-bike regulations.
California law currently requires all individuals under the age of 18 to wear a helmet for any bicycle (including all e-bike classifications). And adult riders of Class 3 e-bikes must also wear a helmet. Our local police force has been working hard to enforce the law.

Young children should not be riding e-bikes.
E-bikes are being marketed for children 4-8 years of age, which is extremely dangerous! Young children lack the motor and situational hazard awareness skills required to use motorized vehicles such as e-bikes. Children at these ages are just learning how to cross streets, gauge traffic, and understand road signage. Instead of e-bikes, parents should be teaching their young children how to safely ride a standard bicycle (with a properly fitted and secured helmet). 

There are also teen safety concerns.
Teens often exhibit reckless behavior because the adolescent brain is still developing executive function, impulse control, and other protective functions. Peer pressure, risk-taking behavior, and insufficient impulse control are risk factors for serious injury and even death. Parents must approach e-bike use with the same caution they use when their teens begin to drive cars. That means educating your kids on the rules of the road, explaining the importance of non-distracted operation, and making sure they attend safety classes and lessons from experts.

To make matters worse, too many teens are modifying their e-bikes to obtain higher speeds. With easy access to the Internet, it only takes a few minutes for a kid to find out how to do it. Officers from the Irvine Police Department (IPD) have clocked Irvine students on modified e-bikes traveling more than 80 mph. Watch the shocking IPD video here. Not only are students injuring themselves, their reckless driving puts pedestrians and automobiles at risk.

We also need to be implementing systems such as licensing to ensure teens have acquired the skills and knowledge required to keep them safe.

Here’s how you can help keep kids (and our community) safe:

  1. If you are at a store and see e-bikes being targeted to children under the age of 12, let the manager know that selling these products to young kids is simply unacceptable.
  2. Attend one of the free e-bike safety workshops offered by the IPD. 
  3. Have an IPD officer inspect your child’s e-bike to ensure that it has not been altered for faster speeds than designed.
  4. Educate yourself on e-bike battery storage, fire hazards, and general maintenance. Consider a professional check-up of your child’s e-bike every year.
  5. Support local policies to make sure that the IPD has the resources required to enforce the laws requiring helmet use, speed and rider limits, and the department’s e-bike safety courses.
  6. Make sure our City’s school resource officers are collaborating with the Irvine and Tustin Unified School Districts to educate and to enforce e-bike requirements.
  7. Use social media to inform others of the hazards of e-bike use.

I encourage readers to share this article and the resources listed below. 


Resource Links:

Irvine Police Department E-bike Safety

American College of Surgeons Committee on Trauma E-bike Safety Statement

American Association of Neurological Surgeons E-Bike Safety Statement

Consumer Produce Safety Commission Helmet Use

American Academy of Pediatrics Walking and Biking to School Safety Guidance

Orange County Transportation Authority E-bike information

Southern California American College of Surgeons E-bike Safety Informational Flyer

American College of Surgeons E-bike safety article by Dr. John Maa ACS E-bike Safety Article

Phyllis Agran, MD, MPH, FAAP
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