Can you spot why this fall possibly took place and why it looks so painfull? See below;
1. Of course no helmet - this might have helped - although no one else is wearing one either.
2. Those socks/shoes combination just don't look cool.
3. Serves him right for having a picnic basket bike carrier on a mountain bike.
4. Get off the bike before looking for punctures.
5. Let the experts fix your bike.
6. Sort those niggles out before they sort you out.