This article originally seen in Fleet Owner talked about how technology is used to measure and help combat fatigue. Pioneering work has been done in the armed forces, sports with unlimited applicability […]
Timeline 3/8/2016: After recommendations from the National Transportation and Safety Board the FMCSA and FRA jointly published an Advanced Notice of Proposed Rulemaking on Obstructive Sleep Apnea. The purpose was to […]
OSA (obstructive sleep apnea) The February 2016 report on Significant DOT Rulemakings included an Advanced Notice of Proposed Rule Making (ANPRM) to look at the prevalence of moderate to severe obstructive sleep […]
“Also, the FMCSA has no jurisdiction on the TC, but can audit, sanction, and remove MEs who certify drivers improperly on a repeated basis. The purpose of the NRCME was to create a group of examiners trained and knowledgeable with the demands of commercial driving, FMCSA regulations and how CMV drivers physical examination and medical conditions affect safe driving and public safety. The FMCSA needs to give MEs the tools they need to properly evaluate the CMV driver on insulin so that the ME will not have to rely on the “hearsay” of the TC. “
Do you have a question about sleep and sleep apnea in commercial drivers and the truth about the rules and regulations regarding OSA? Obstructive Sleep Apnea: Trucking’s Myths and Facts 03/21 by […]
it became more apparent that we really can not talk about OSA without talking about sleep in general, both from a consumer standpoint and from a more scientific approach.
CDC – Sleep Home Page – Sleep and Sleep Disorders. Sleep (Part I) According to the CDC (Center for Disease Control and Prevention), more than 41 million working adults get six or […]
Follow up and continuation from an earlier post addressing hearing disorders: The Deaf CMV driver-Hearing Requirements… Commercial drivers with hearing disorders or trauma, who have symptoms that may interfere with driving, such as […]
Diabetes: Insulin v.s. Pills-Effect on Health (JAMA Study) & a ME’s Viewpoint on Commercial Driver Fitness Determination.
It is vital for patients to discuss all their medications with their personal physician. When it comes to diabetes more than 21 million Americans are affected. After hypertension, many of the commercial […]
The article “Disqualified” appeared in Overdrive magazine in 2006. Although somewhat dated, it gives valuable insight into the commercial driver with impairments caused by physical or medical conditions. It tells of the personal […]
Skill Performance Evaluation (SPE) Introduction The Skill Performance Evaluation, like other evaluations performed on drivers applying for an exemption or relief from the regulatory standards, requires the input of certain medical specialists. […]
Originally posted on Truck Driver Physicals & NYC TLC Physicals |Queens,NY:
FDA approves “pacemaker like” device for Sleep Apnea. Implanted in the chest it stimulates the hypoglossal nerve to keep primary…
I don’t think any one will fall asleep watching this video. These guys not only are funny, but in this short video they are able to teach as well, and there is […]
High Blood Pressure and the DOT Medical Examination: “real”, or “white coat”, – Guidelines still apply.
One reason I see drivers become frustrated during the physical examination is when they are told that their blood pressure is elevated or that they may have hypertension. The “knee jerk” response […]
Heart Disease and Commercial Driver Certification Guidelines.
According to this Medline Plus article as of 2010 approximately 9% of Americans have diabetes mellitus (21 million adults) and 12% have pre-diabetes. The rise in diabetes is in conjunction to the […]
The derailment occurred on Dec.1, 2013 when the conductor reportedly nodded off at a sharp turn near the Spuyten Duyvil train station, leaving four dead and 70 injured. He apparently had a […]
Part I. What’s all the Fuss About Field of Vision Changes and What’s This About a Historical Blunder?
I first read about the Medical Review Board’s (MRB) recommendation to change the Field of Vision (FOV) from the current standard of 70 degrees monocular to 120 degrees horizontal binocular field of […]
Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption from the Federal Motor Carrier Safety Regulations for a 2-year period if it finds “such exemption would likely achieve a level […]
Federal Vision Exemption Program: The current Vision Exemption Program was established in 1998. It was preceded by the Vision Waiver Program of 1992. The criteria used to determine commercial driver eligibility, as […]