Syndromic surveillance can be used to monitor and track BRI and to inform targeted prevention activities such as education and outreach to select at-risk populations (e.g., college students). Presently, information on the environmental context of injuries, such as the precise location of the accident, is limited. As bicycle use increases, improved methods to combine syndromic surveillance, emergency medical services and public safety information are needed to identify accident 'hot spots' to guide implementation of preventive measures.