Love og regler i Sverige Richard Harlid Narkos- och Intensivvårdsläkare Aleris FysiologLab Stockholm

Transkript

1 Love og regler i Sverige Richard Harlid Narkos- och Intensivvårdsläkare Aleris FysiologLab Stockholm

2 Driving in the USA Driving is the lifeblood of the United States. It fosters commerce, recreation and a way of life that's uniquely American. Cognizant that a mobile nation is a happy nation, the U.S. government understands the importance of promoting driving safety through brochures, publications and websites.

3 Driving in the USA Driving is the lifeblood of the United States. It fosters commerce, recreation and a way of life that's uniquely American. Cognizant that a mobile nation is a happy nation, the U.S. government understands the importance of promoting driving safety through brochures, publications and websites.

4 Driving in the USA Driving is the lifeblood of the United States. It fosters commerce, recreation and a way of life that's uniquely American. Cognizant that a mobile nation is a happy nation, the U.S. government understands the importance of promoting driving safety through brochures, publications and websites.

5 Guidelines FMCSA 2007 OSA = An individual with the diagnoses of OSA may be certified to drive a CMV if Untreated OSA with AHI 20 AND OR Has OSA that is beeing effectively treated

6 Guidelines FMCSA 2007 OSA = An individual with the diagnoses of OSA may be certified to drive a CMV if Untreated OSA with AHI 20 AND OR Has OSA that is beeing effectively treated

7 Responsibility EU a driving license should not be given or renewed to any candidate suffering from a disorder? likely to compromise safety on the road

8 Inform

9 Sleep apnoea and driving Sleep apnoea is a condition that you need to tell the Driver and Vehicle Licensing Agency (DVLA) about. Find out which questionnaire you need to complete for the driving licence you hold.

10 11 kap. Sömn- och vakenhetsstörningar TSFS 2012:19 1 Sömnapné, snarksjukdom (ronkopati) eller annan sjukdom med sömnstörning samt narkolepsi utgör hinder för innehav om förhållandena bedöms innebära en trafiksäkerhetsrisk. constitutes a hindrance to posess (a drivers licence) if it can be assumed to pose a safety risk

11 11 kap. Sömn- och vakenhetsstörningar TSFS 2012:19 2 För innehav av behörigheterna C, CE, D, DE eller taxiförarlegitimation ska den ökade trafiksäkerhetsrisk som följer med sådant innehav beaktas he increased safety risk should be taken into special consideration

12 SBU EDS = Dagtrötthet I den nordiska SBU-rapporten om sömnapné från år 2007 konstaterades OSA även utan konstaterad dagtrötthet utgör en tydlig riskfaktor. sömnapnésyndrom (sömnapné + dag trötthet) ändrats till sömnapné i enlighet med detta fynd. Fortfarande krävs dock att det kan konstateras att»förhållandena bedöms innebära en trafiksäkerhetsrisk«. OSA even without observed EDS constitutes an evident risk factor

13 SBU EDS = Dagtrötthet I den nordiska SBU-rapporten om sömnapné från år 2007 konstaterades OSA även utan konstaterad dagtrötthet utgör en tydlig riskfaktor. sömnapnésyndrom (sömnapné + dag trötthet) har ändrats till sömnapné i enlighet med detta fynd. Fortfarande krävs dock att det kan konstateras att»förhållandena bedöms innebära en trafiksäkerhetsrisk«. sleep apnea syndrome (SA + EDS) has been changed to sleep apnea in consistency with these findings

14 SBU EDS = Dagtrötthet I den nordiska SBU-rapporten om sömnapné från år 2007 konstaterades OSA även utan konstaterad dagtrötthet utgör en tydlig riskfaktor. sömnapnésyndrom (sömnapné + dag trötthet) har ändrats till sömnapné i enlighet med detta fynd. Fortfarande krävs dock att det kan konstateras att»förhållandena bedöms innebära en trafiksäkerhetsrisk«. It can be stated that the»circumstances are likely to pose a safety risk«

15 Villkor om läkarintyg 3 Villkor om läkarintyg får föreskrivas och prövning av frågan om fortsatt innehav göras med intervall som bedöms lämpligt i varje enskilt fall. Doctor decides when and how often

16 Läkarundersökning 4 Sökanden ska tillfrågas om störning av nattsömnen på grund av sömnapné eller uttalad snarkning samt om annan sömnstörning. In health controls doctor has to ask

17 Reporting Reporting when driver is unfit to hold a drivers license Before September Physician is compelled to report a driver clearly unfit to posess a drivers license After September Physician is compelled to report a driver medically unfit to posess a drivers license Before reporting the physician has to inform the patient

18 Unwilling patient If the physician finds it likely that the patient is medically unfit to posess a drivers license and the patient opposes further investigation

19 Unwilling patient If the physician finds it likely that the patient is medically unfit to posess a drivers license and the patient opposes further investigation the physician is compelled (earlier: was allowed) to report this to the Swedish Transport Agency No information to the patient is required

20 No need to report Report to the Swedish Transport Agency is not needed if the physicion if there is good reason to believ that the patient will refrain from driving. A comment has to be done in the medical history report that information has been given.

21 Punishment