As ATV accidents surge, a new safety program aims to keep riders out of ERs

Helmets, goggles and other gear are key to safe riding.
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Motorcyclist reads a map while another sits atop motorcycle during ATV safety event co-sponsored by UCHealth.
Craig, right, and his wife, Basmah, prepare for a motorcycle outing at the Rainbow Falls trailhead near Woodland Park, Colorado. Wearing a helmet, eyewear and protective clothing is key to avoiding a trip to the ER when riding. Photo by Anslee Wolfe, for UCHealth.

The young couple heard a UCHealth LifeLine helicopter circle over their campsite off Highway 67 in southern Colorado on a beautiful July morning and watched it land in a nearby field.  

Austin Gipson and his wife, Alena Baker, thought someone might be injured – perhaps someone on an all-terrain vehicle (ATV). 

Austin has been riding ATVs since he was a kid growing up in Colorado Springs, and he’s seen far too many accidents on local trails. On this summer morning, though, the LifeLine medical transport helicopter made a picture-perfect landing as part of an educational event co-sponsored by UCHealth and a group called the OHV (or off-highway vehicle) 2025 Workgroup. The group members work to keep people and trails safe. 

So, it was fitting that after Austin and Alena saw the helicopter land, they hopped on an ATV and rode over from their family’s nearby campsite to check out the helicopter along with booths set up in a trailhead parking lot. 

Austin ticked off the list of ATV safety gear his father always taught him to wear.  

“Helmets, boots, goggles, gloves,” said Austin, who is 22. “Those were a must. If he saw us without one of those, he’d yank us off (the ATV).” 

A few minutes later, Austin’s father, Michael, and two of Austin’s younger siblings arrived on a four-wheeler. Sure enough, Erin Keogh, 12, and her brother, Damien Keogh, 8, were wearing full-face helmets and goggles.  

A boy looks over items at an informational booth at an ATV safety event as a UCHealth injury prevention specialist looks on.
Damien Keogh, left, checks out information and giveaway items at a UCHealth booth with Hannah Carlo, right, at a summertime ATV safety event at the Rainbow Falls trailhead in southern Colorado. Carlo, UCHealth injury prevention specialist, facilitates the OHV 2025 Workgroup that planned the event. Photo by Anslee Wolfe, for UCHealth.

“It’s very important to wear the helmet because without it, you could get really hurt,” Erin said. 

A spike in accidents leads to new education efforts 

The increasing popularity of ATVs and other OHVs has caused an increase in the number of injured riders who end up in ERs. Some arrive at hospitals on their own, while others need help from helicopters and ambulances.

Are you heading out on an ATV?

Follow these safety recommendations

  • Wear a helmet, eye protection and appropriate protective clothing. 
  • Use the seat belt if your vehicle has one. 
  • One rider per seat. No lap rides. Never double up people on seats, or ride on a part of the vehicle that isn’t a designated seat. 
  • Share the trail. Off-highway vehicles (OHVs) should yield the right of way to non-motorized trail users, such as hikers, horses and bicyclists. 
  • Obey local posted speed limits on trails and county roads where ATVs are allowed. 
  • Do not drive under the influence of drugs or alcohol. The same laws that apply to highways apply to off-highway travel. 
  • Watch for children and teens riding and driving ATVs. Young drivers typically have less experience.  
  • Check your speed. Excessive speed is a common cause of accidents and injuries. 
  • Ride within your ability. 
  • Slow down when approaching other people on trails, blind corners and hills. 
  • Use hand signals to let others know how many riders or vehicles are in your group. For example, three fingers up means three more riders behind you. 
  • Avoid getting into situations where you might get stuck or have to make a dangerous U-turn. But don’t be afraid to turn around if you encounter conditions that are too advanced for your riding skills. 
  • Check trail maps for routes, elevations and difficulty. 
  • Be aware of changing weather conditions and bring appropriate gear. 
  • Carry the essentials: first aid, fire extinguisher, small folding shovel, water, extra clothes, GPS device and/or phone, maps. 
  • Never ride alone. Let people know your itinerary. 

Source: OVH 2025 Workgroup

To learn more about the workgroup and upcoming events, email [correo electrónico protegido] 

Last summer at Hospital Regional de Pikes Peak, health care providers saw the 10-bed emergency room fill up after a multi-passenger OHV rollover accident. ATV accidents are the second-leading cause of ER visits at the Woodland Park hospital, said Holly Heise, UCHealth outreach program manager-trauma services and a registered nurse.  

UCHealth providers saw the need for education and safety advocacy in the ATV community to help keep people from getting injured in the first place.  

So, injury prevention specialists teamed up with other organizations to create an education program and organize the July 18 event, where the LifeLine helicopter made an appearance. Austin Gipson and other members of his family were among those who stopped by the event, which took place at the Rainbow Falls trailhead about nine miles north of Woodland Park. The goal of the event was to educate the public about the potential dangers of ATVs and OHVs and how to ride safely and prevent injuries. Other participating organizations were Stay the Trail, Ute Pass Regional Paramedic Services, Mountain Communities Fire Department y Pike National Forest. Each had a staffed table, where riders could also gather local information and talk with experts about trails, maps, safety and more. The LifeLine crew offered tours of the helicopter, and Sasquatch made a guest appearance at the UCHealth table. 

“We realized we needed to start doing something,” said Hannah Carlo, an injury prevention specialist at UCHealth Memorial Hospital Central and a paramedic. She received a call from Heise about the spike in ATV accidents and a request to see what could be done.  

It would prove to be a daunting task.  

Colorado data on ATV injuries are not maintained consistently across various agencies, so it’s difficult to know the extent of the problem, Carlo said. And there are no coordinated safety education efforts in the state. But based on the view from inside the emergency department, it’s clear that rider education is needed, she said. She facilitates what the group calls the OHV 2025 workgroup. They want to enhance the safety culture at various recreation locations in southern Colorado, with one goal in mind: preventing injuries. She and the others who helped create the safety program hope it can be replicated across Colorado so riders will be safer. “I hope we can get some traction – no pun intended,” Carlo said. 

Helmets save lives. That’s why safety experts held a drawing for free goggles and a helmet voucher 

UCHealth experts teamed up with safety pros at the other organizations to create a brochure packed with information about ATV safety and resources and started planning outreach events in southern Colorado where they could share the information. Earlier this summer, the group hosted an event at the Lake George Fire Department and also at a Woodland Park summer festival. Carlo recently presented the group’s work to the Colorado Department of Public Health and Environment’s Emergency Medical and Trauma Services Advisory Council Prevention committee. Carlo told the committee that ERs nationwide treat more than 100,000 ATV injuries annually, according to the Consumer Products Safety Commission. 

During the Rainbow Falls event, Carlo and her colleagues talked with more than 60 visitors, handed out lip balm, fans and other items. Erin and Damien Keogh scooped up free stickers and immediately put them on their helmets. Carlo encouraged visitors to enter a giveaway to win a $400 helmet voucher and goggles. The helmet giveaway is in partnership with Apex Sports in Colorado Springs. Encouraging helmet use is key, because the risk of head injury drops 69% for riders who wear one, Heise said. The risk of death from an ATV accident drops 37% with a helmet.

 “Most, if not all, of these are preventable injuries if people would drive safely and take precautions,” Heise said. 

ATV accidents are one type of summer trauma, many of which are preventable with these tips.

Craig and his wife, Basmah, arrived in the Rainbow Falls trailhead parking lot with their off-road motorcycles wearing boots, full-face helmets, glasses and protective clothing. The couple preferred to be identified by their first names. Craig said his father taught him to ride. He stopped by a few tables at the trailhead event before heading out on their bike with Basmah. 

Two motorcycles, who attended a safety ATV program in Colorado, ride a Colorado mountain trail
Craig and his wife, Basmah, hit the Rainbow Falls trail on a recent Colorado summer morning. Photo by Anslee Wolfe, for UCHealth.

“We always want to ride another day,” he said. “And we don’t want to hurt anyone else.” 

Michael Gipson and his family entered the giveaway for the helmet voucher and goggles – and won the drawing later that morning. 

Asked if he sees a need for safety and trails education, Michael Gipson didn’t hesitate. 

“Absolutely.” 

About the author

Joanna Bean is a writer for UCHealth Today. As the daughter of a Denver physician, she grew up hearing about the lifesaving power of medicine and the providers who care for patients. She loves meeting people and sharing their stories.

Before joining UCHealth in 2025, Joanna worked as an award-winning reporter and editor-in-chief of The Colorado Springs Gazette. She also worked in communications roles at the University of Colorado Colorado Springs, where she earned a Master of Public Administration degree.

Joanna is a longtime resident of Colorado Springs and loves spending time in southern Colorado skiing, hiking, camping and biking – including on a tandem bike she rides with her husband.