Pay particular attention to children, as they are not usually correctly restrained by seatbelts designed for adults. Injuries commonly sustained by riders and pillion passengers are fractures of the femur, wrist and ankle fractures, head injuries, and deceleration injuries resulting in severe internal bleeding. Motor cyclist's helmets MUST NOT be removed unless the airway is obstructed or the casualty is not breathing. Casualties should remove their own helmets wherever possible. If a helmet has to be removed, it requires two rescuers to do so, and it should be done carefully with no movement of the neck.
Cyclists are liable to sustain multiple fractures, multiple lacerations, and head injuries.
Children are susceptible to 'greenstick' fractures of the arms, and wrist injuries through falling off at relatively low speed. Generally, adults are struck on their side as they try to turn away from the danger. Their injuries are usually more pronounced on the side that has received the impact. Children and the elderly are more likely to be struck as they turn to face the oncoming vehicle. Most pedestrians are 'run under' rather than 'run over' as they are forced off their feet by the impact and may be thrown over the vehicle, or for some distance from the point of impact.