When Gordon Ramsay raises his voice, it’s usually about an undercooked dish.

But in 2024, the celebrity chef was calling for help after a scary bicycle accident.

“It really shook me,” says the avid cyclist in a June 15, 2024, Instagram post. “Honestly, I’m lucky to be here.”

Ramsay says he didn’t suffer any major injuries, but he’s bruised and on the mend. And he’s again joining health care professionals in stressing the importance of wearing a helmet and biking within your means.

“I don’t care how short the journey is,” Ramsay says.

Biking accidents in the emergency department

Kurt Bloomstrand, MD, an emergency medicine physician who sees patients at OSF HealthCare, has treated people who have fallen off a moving object. It could be a bicycle, scooter or motorcycle. Sometimes it’s a child who’s learning their way. Or it could be an adult who didn’t hit the brakes in time.

“A lot of times what happens is they fall off the bike, put their arm out to protect themselves and injure their arm,” Dr. Bloomstrand says.

“But most importantly, we also see head injuries. We know that people who get in a bike accident have better outcomes if they’re wearing a helmet. People that are not have a higher risk of head injuries and traumatic brain injuries,” he adds.

Those head injuries are not something to take lightly, Dr. Bloomstrand says. Traumatic brain injuries can result in lifelong complications or death.

“When we see people in the emergency department who have suffered from a bicycle accident, we’re going to do a rapid trauma assessment,” Dr. Bloomstrand explains. “We’re going to pay special attention to the head. We’re going to make sure there are no signs of skull fracture or neurological abnormality. Depending on the severity of the injury, we may do a CAT scan [also called a CT scan] to make sure there’s no internal injury like bleeding on the brain. Those internal injuries are life-threatening emergencies that need to be addressed quickly.”

Advice

Check these off your list the next time you get on a bicycle or something similar:

• People of all ages should wear a helmet while biking. Young kids who are learning to ride should also wear knee elbow pads.
   
• Long shirts and pants and closed toe shoes (not sandals) are better than bare skin if you fall and skid on pavement (commonly called “road rash”).
   
• Be alert when riding. Don’t ride while tired or under the influence of alcohol or drugs. If you’re listening to music, consider having one ear free so you can hear your surroundings.
   
• Don’t ride above your means. Choose a speed and terrain that fits your skills.
   
• Keep your bike in good condition and configured to match your height. Your feet should touch the ground when seated. This should be true for all ages. A child should not “grow into” a bike. 
  
  At night, a headlight, reflectors, flag and a horn help you to be seen and heard. Bright-colored clothing also helps your visibility at night.
   
• Look closely before crossing an intersection, and obey all traffic laws. This typically includes riding on the right side of the road. Use universal hand signals: left arm straight for a left turn, left arm bent up for a right turn and left arm bent down for a stop. Make eye contact with the driver of a vehicle before passing in front of them.
   
• One person should ride a bike at a time, and keep both hands on the handlebars. Put items like books in a backpack or basket. Don’t try to carry items and ride.
   
• If you or someone you’re with suffers a bike injury, call 9-1-1 immediately.

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Up to 95% of kids age 13-17 and nearly 40% of children age 8-12 use a social media platform, according to the U.S. Surgeon General.

The report “Social Media and Youth Mental Health” says evidence indicates that there are “ample indicators” that social media can have a “profound risk of harm to the mental health and well-being of children and adolescents.” Additionally, the advisory says that social media usage can disrupt vital activities for someone’s health and well-being like sleep and physical activity.

It’s no secret a major part of posting that “picture perfect” moment happens after the picture is taken. Through editing with filters, body positioning, and now even artificial intelligence, the photos you see of those you follow may not be an accurate representation of their life.

Kyle Boerke, Psy.D, is the director of behavioral health outpatient services for OSF HealthCare and a clinical child psychologist. He says what we go through as social media users when looking at the influencers we follow is called “upward social comparison.”

“You, as a teenager, take your worst day and you are comparing it to this video of somebody’s best day. Or I would say, artificial day, because it’s not real due to the filters and editing,” Dr. Boerke says. “We have a lot of research that talks a lot about the direct correlation between time spent on social media and an increase in anxiety and depression. We’re talking about a one-to-one correspondence where every hour spent on social media increases your likelihood of anxiety and depression.”

What can we do?

“Limit your exposure to social media as a whole. But certainly, limit those individuals that are negative and that are body shaming. There are body positive individuals out there.”

Dr. Boerke says, in many cases, the people you follow on social media aren’t your friends. You don’t know them personally, and you’ve probably never met them, and never will.

“More important than who you follow on social media is who you surround yourself with in real life. Surround yourself with positive individuals in real life. Surround yourself with people who truly know you, care about you, support you and are going to be there for you in hard times,” Dr. Boerke adds.

Social media is a tool

While social media is used, whether intentionally or not, for negative purposes, there are some cases where it can be used for positive outcomes.

“There are influencers out there that have a good message on body positivity and being healthy, as opposed to your weight and what your figure looks like. However, for every one of those, there are ten to twenty that by using filters, Photoshop and artificial nature. How they portray themselves can be a huge influence,” Dr. Boerke says.

In most cases, people may hear “social media” and think of the apps Instagram, X (formerly known as Twitter), Snapchat and Facebook. But he says a major social media platform reaching the youngest of kids is YouTube.

“I just want to caution everybody that even at a young age, be aware of what they’re watching and be aware of how much time they’re spending on these,” Dr. Boerke says. “While the themes throughout these YouTube videos are mostly good, there’s still probably some upward social comparisons happening even with our six and seven-year-olds.”

What if I’ve built a community on social media?

Connecting with people going through your same experience can potentially be good.

But Dr. Boerke says that can also be troubling, because you can get into a group with people who feel/think the same way you do, and they recommend you do something that is detrimental to your health.

“If you are struggling, tell an adult in your life and ask to talk to somebody. Start with your pediatrician or primary care physician. They can get you in touch with a therapist or psychologist that can help have those discussions with you,” Dr. Boerke says.

OSF HealthCare offers behavioral and mental health services across the Ministry to support adults, teens and children seeking diagnosis, short-term treatment or long-term management of mental and emotional health challenges.

The services offered can best fit your needs, from outpatient therapy to medication management. If you’re interested in speaking with a medical professional, visit the OSF HealthCare website.

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The pros and cons of social media are well documented. It allows you to connect with friends and pursue passions, but bullying and misinformation can be rampant.

But can frequent social media use lead to changes in brain development during the formative adolescent years? A recent study suggests so, but much more investigation is needed, says Karna Sherwood, MD, a neurologist at OSF HealthCare in Alton, Illinois.

The study tracked 169 sixth and seventh graders and found those who habitually checked social media were more sensitive to rewards and punishments. To view it a different way, kids who constantly refresh Facebook hoping the likes on their post will go up may be more impulsive to seek out real-life recognition.

“At a certain point, 10 likes or 20 likes are no longer gratifying enough,” Dr. Sherwood says. “And then you have to find another way to get even more likes or more appreciation.”

That “another way” could lead to risky behaviors such as substance abuse. But Dr. Sherwood says more study is needed to conclusively make the link. Just how much does our life in the digital realm affect our life away from the device?

“A follow up study would certainly investigate if [frequent social media use] has an effect on rates of anxiety and depression,” says Dr. Sherwood. “Could this affect addiction? And what interventions could be taken to nullify those behaviors?

“As a society, if we want to raise happy and healthy people in an age where we are getting better technologically, what steps do we need to take?”

Until then, Dr. Sherwood has some good advice no matter your age or number of Twitter followers.

“Until you get the rest of the information, it’s better to have some degree of regulation,” and restraint with social media, Dr. Sherwood says.

Learn more about how the brain works on the OSF HealthCare website.

Interview clips

Previous coverage

Tackling pediatric mental health

Bullying and the era of technology

Is social media impacting your mental health?

Kids' screen time: How much is too much?