United States Department of Transportation
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Examining the Seizure Standard for Commercial Motor Vehicle Drivers: Evidence Report, Systematic Review, and Medical Expert Panel Report
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2023-06-01
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[PDF-1.52 MB]
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Edition:Final Report, September 2020 – September 2021
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Abstract:Individuals with an established medical history or clinical diagnosis of epilepsy or any other condition that is likely to cause loss of consciousness or any loss of ability to control a commercial motor vehicle (CMV) are not allowed to operate a CMV in interstate commerce by Federal regulations. However, the Federal Motor Carrier Safety Administration (FMCSA) issues exemptions from the regulatory requirements for select drivers who meet criteria based primarily on long periods of medical stability without a seizure. This report includes systematic reviews that addressed key questions largely by published data, with an additional key question addressed by a medical expert panel. Five key questions address risk of seizure recurrence over time for individuals who have or have had unprovoked seizures, provoked seizures, a seizure caused by stroke, epilepsy, or surgery for epilepsy. Another key question addresses commercial driving requirements for each State in the United States and driving requirements generally for select other countries regarding seizures. A medical expert panel addressed questions concerning recommendations for the current processes to address seizures among potential CMV drivers. The medical expert panel determined there was no evidence to support major changes to the regulation or exemption criteria. However, several minor changes were advised, including multiple recommendations for clarifying definitions and the eligibility criteria for exemptions.
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