Injured motor cycle messengers make up a small but significant proport
ion of the young injured attending Central London accident and emergen
cy (A&E) departments. The study confirms that the pattern of their inj
uries is similar to other injured urban motor cyclists, and discusses
the background of the injured, in terms of experience and training, hi
ghlighting the frequency of injury and possible predisposing factors.
A total of 116 injured motor cycle messengers attending two Central Lo
ndon A&E departments over a 10-month period were studied. Thirteen per
cent sustained sufficiently serious injuries to necessitate admission
, the rest were treated as out-patients for lesser injuries. The mean
age was 23. Only 18% had received any formal training and 31% were in
possession of a provisional driving licence only. Fifty-eight per cent
had been employed as a messenger for less than 3 months, yet two-thir
ds of them had sustained a previous injury whilst a messenger. The app
arent absence of supervision of this potentially dangerous occupation
is emphasized. In view of the repeated injuries sustained by many of t
hese vulnerable young men, it is suggested that those responsible for
their treatment might, in addition to their therapeutic role, give sui
table guidance that might prevent re-attendance with further injuries.