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ed ICU care, one-half (53%) of these being children. Conclusions Although ROVs have ROPs, lack of helmet and safety belt use are reducing their benefit. Youth are a large proportion of those injured in ROV crashes, often while driving despite vehicle operation recommended only for those ≥16 years old. Increased public education is needed regarding proper safety measures while operating and riding ROVs.Background Approximately 75% of all bicycle-related mortality is secondary to head injuries, 85% of which could have been prevented by w