Skip to Content
Streetsblog New York City home
Streetsblog New York City home
Log In
Public Health

ER Chief: NYC Needs More Speed Cameras and Bike Lanes to Reduce Traumatic Brain Injuries

Following the deaths of Neftaly Ramirez and Alejandro Tello, an emergency room surgeon is calling for more traffic-calming measures, including speed enforcement cameras and bike lanes, to prevent traumatic brain injuries in NYC.

In a Daily News op-ed, Dr. Nicholas Gavin, chief of emergency medicine at NYU Langone Hospital-Brooklyn, says at least 15 percent of 1,200 TBIs treated at Brooklyn hospitals annually can be attributed to traffic crashes.

“With the densest population in New York City, it is not surprising that the borough has the highest number of accident-related head traumas,” writes Gavin. “Its wide avenues are conducive to speeding -- which, in turn, leads to serious accidents and horrific patient outcomes.”

Gavin says slowing motorists down should be the city's number one traffic safety priority, and cites the lowered 25 miles per hour speed limit as an important step. Despite Vision Zero progress, however, reductions in pedestrian and cyclist fatalities have leveled off as the number of speed enforcement cameras allowed by Albany remains static. Gavin says the speed camera program should be expanded, and not just around schools.

There are other steps I would also recommend: We must improve lighting and street signage; create barriers to discourage jaywalking; install more countdown clocks at crosswalks; designate more bicycle lanes; and widen medians where pedestrians caught mid-crosswalk can wait more safely. This is particularly important in the outer boroughs.

Traffic crashes are the leading cause of traumatic injury at some NYC hospitals. Gavin recommends an increase in the number of health care facilities that are equipped to treat TBIs, to reduce the number of victims who suffer permanent damage.

It’s uncommon to hear a medical professional focus on crash prevention as a systemic issue. To the contrary, at traffic safety summits hosted by NYC hospitals in recent years, presenters tended to talk more about the behavior of people who are hit by motorists.

“As capable as ERs are at saving lives,” writes Gavin, “there is no substitute for prevention.”

Stay in touch

Sign up for our free newsletter

More from Streetsblog New York City

‘Preventable’: Hit-and-Run Driver Kills Two on Third. Ave Corridor Eric Adams Refuses to Make Safer

A motorist struck and killed two men on a strip where Mayor Adams recently shelved a safety redesign amid a backlash from local business interests.

July 11, 2025

Why No BRT For NYC? Two New Reports Tackle Why Your Bus Service Sucks

Years of bus priority projects barely made a dent in speeds because Big Apple leaders won't install real bus rapid transit, two recent reports argue.

July 11, 2025

Citi Bike Riders Are Pissed About Eric Adams’s 15 MPH Speed Limit

Citi Bike's new 15 mph max speed limit is a bad deal for riders and a potential threat to safety, riders said.

July 11, 2025

Friday Video: Cyclists, Check Out Your Next City

Streetfilms' Clarence Eckerson visited London earlier this summer to check in on the Big Smoke's cycling revolution.

July 11, 2025

Friday’s Headlines: Just the News Edition

We've got one more workday before we can hit the beach. Plus the news.

July 11, 2025

Council To Close Instacart Loophole, Pass Delivery Industry Regulation Bills

The City Council will vote on Monday to close the "Instacart loophole" and force all app companies to pay workers a minimum wage.

July 10, 2025
See all posts