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===Physical trauma=== [[Acute (medical)|Acute]] physical trauma includes injuries to the head and extremities resulting from falls and collisions.{{citation needed|date=July 2022}} Most cycle deaths result from a collision with a car or heavy goods vehicle. Drivers are at fault in the majority of these crashes.<ref>{{cite journal |last1=Bíl |first1=Michal |last2=Bílová |first2=Martina |last3=Dobiáš |first3=Martin |last4=Andrášik |first4=Richard |title=Circumstances and causes of fatal cycling crashes in the Czech Republic |journal=Traffic Injury Prevention |date=2016 |volume=17 |issue=4 |pages=394–399 |doi=10.1080/15389588.2015.1094183 |pmid=26507371 |s2cid=1848346 |quote=The driver was the guilty party in 57 cases (68.7%) and the cyclist in the remaining 26 cases (31.3%).}}</ref><ref>{{cite news |last1=Chambers |first1=Peter |last2=Andrews |first2=Tom |title=Rising cyclist death toll is mainly due to drivers, so change the road laws and culture |url=https://theconversation.com/rising-cyclist-death-toll-is-mainly-due-to-drivers-so-change-the-road-laws-and-culture-102567 |access-date=10 July 2022 |work=The Conversation |language=en |quote=In Australia, drivers are to blame for at least 79% of accidents with cyclists.}}</ref><ref>{{cite news |url=https://www.mcclatchydc.com/news/politics-government/congress/article237028854.html |title=Most bike crashes involve drivers overtaking cyclists |access-date=10 July 2022}}</ref><ref>{{cite news |title=Risky cycling rarely to blame for bike accidents, study finds |url=https://www.theguardian.com/lifeandstyle/2009/dec/15/cycling-bike-accidents-study |access-date=10 July 2022 |work=the Guardian |date=15 December 2009 |language=en}}</ref><ref>{{cite journal |last1=Glász |first1=Attila |last2=Juhász |first2=János |title=Car-pedestrian and car-cyclist accidents in Hungary |journal=Transportation Research Procedia |date=2017 |volume=24 |pages=474–481 |doi=10.1016/j.trpro.2017.05.085 |s2cid=114731588 |language=en |issn=2352-1465 |quote=The suspected primary reason of car-cyclist accidents was almost exclusively the driver's fault, in a total of 7,889 cases (99.6%), therefore we did not detail the accident numbers belonging to other reasons individually. |doi-access=free}}</ref> Segregated cycling infrastructure reduces the rate of crashes between bicycles and motor vehicles.<ref>{{cite journal |last1=Marshall |first1=Wesley E. |last2=Ferenchak |first2=Nicholas N. |title=Why cities with high bicycling rates are safer for all road users |journal=Journal of Transport & Health |date=2019 |volume=13 |pages=100539 |doi=10.1016/j.jth.2019.03.004 |bibcode=2019JTHea..1300539M |s2cid=191824684 |url=https://www.sciencedirect.com/science/article/abs/pii/S2214140518301488 |language=en |issn=2214-1405}}</ref> Although a majority of bicycle collisions occur during the day,<ref name="ROSPA">{{cite web |url=http://www.rospa.com/road-safety/advice/pedal-cyclists/facts-figures/ |title=Cycling Accidents Facts & Figures – August 2014 |access-date=26 November 2016 |website=www.rospa.com |publisher=The Royal Society for the Prevention of Accidents |archive-url=https://web.archive.org/web/20161126064112/http://www.rospa.com/road-safety/advice/pedal-cyclists/facts-figures/ |archive-date=26 November 2016 |url-status=dead}}</ref> [[Bicycle lighting#Safety|bicycle lighting]] is recommended for [[bicycle safety|safety when bicycling]] at night to increase visibility.<ref name="NHSTA">{{cite web |url=http://www.nhtsa.gov/staticfiles/nti/pdf/812202-CountermeasuresThatWork8th.pdf |title=National Highway Traffic Safety Administration. Countermeasures that work: A highway safety countermeasures guide for State Highway Safety Offices, 8th edition. |date=2015 |website=www.nhtsa.gov |publisher=National Highway Traffic Safety Administration |access-date=26 November 2016 |archive-url=https://web.archive.org/web/20161209234225/http://www.nhtsa.gov/staticfiles/nti/pdf/812202-CountermeasuresThatWork8th.pdf |archive-date=9 December 2016 |url-status=dead}}</ref> [[File:Taiwan 2009 HuaLien Taroko Gorge Biking FRD 5416 Pano Extracted.jpg|thumb|Bicyclist pedals uphill at the [[Taroko National Park|Taroko Gorge]] in Taiwan]] [[File:Bicycles and winter.jpg|thumb|Bicycles in [[Helsinki]] ([[Finland]])]]
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