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When giving first aid to a skier, check for bleeding, deformities, redness, bruising, and swelling before moving them. Some cyclists may have one, two, or no prosthetics. Look for tenderness and poor circulation in the limbs. They may have decreased sensitivity or no pain at the injury site. Traction can make spasticity worse for cyclists with cerebral palsy. Cyclists with spinal cord injuries may experience autonomic dysreflexia. When providing first aid, consider that the skier may not feel pain at the injury site, so be sure to check for bleeding, deformities, redness, bruising, and or swelling before moving. Be aware that some cyclists may wear one, two, or no prosthetics while on the trail. Watch for tenderness and poor circulation in the limbs. The patient may have decreased sensitivity or no pain at the injury site. Traction can worsen spasticity in cycling with cerebral palsy. Make sure to also be aware of autonomic dysreflexia in cyclists with spinal cord injury.