Citation

Hegmann KT, Andersson GB, Greenberg MI, Phillips B, Rizzo M. J. Occup. Environ. Med. 2012; 54(4): 424-430.

Affiliation

From the Rocky Mountain Center for Occupational and Environmental Health (Dr Hegmann), University of Utah, Salt Lake City, Utah; Department of Orthopedic Surgery (Dr Andersson), Rush University Medical Center, Chicago, Ill; Department of Emergency Medicine (Dr Greenberg), Drexel University College of Medicine, Philadelphia, Pa; Division of Pulmonary, Critical Care and Sleep Medicine (Dr Phillips), Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, Ky; and College of Medicine (Dr Rizzo), Department of Neurology, University of Iowa, Iowa.

Copyright

(Copyright © 2012, Lippincott Williams and Wilkins)

DOI

10.1097/JOM.0b013e3182480535

PMID

22418277

Abstract

OBJECTIVE:: To revise and update guidance recommendations to the Federal Motor Carrier Safety Administration for evaluating commercial drivers. METHODS:: The Federal Motor Carrier Safety Administration's medical review board has addressed guidance for commercial drivers for the past 5 years. The processes for most topics involve comprehensive literature searches, evidence reports, medical expert panel reports, critique of the literature, testimony, and decision making. RESULTS:: No quality literature evaluating risk of crash among commercial motor vehicle drivers was found for most medical conditions. Little literature was available for crash risk among all drivers. For select conditions, such as seizure disorders, obstructive sleep apnea, and narcolepsy, there is evidence of increased crash risk among the general driving population and evidence-based guidance is now available. CONCLUSIONS:: Detailed guidance from the Medical Review Board is available for assessing commercial drivers with various disorders. Many challenges remain.

Language: en