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Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
Drowsy Driving & Cdl Licensure Rules Pp
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Drowsy Driving & Cdl Licensure Rules Pp

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  • 1. Finding a solution for tired truckers. Alert Respiratory –Education, Testing & Solutions 12630 Metro Parkway Fort Myers, FL 33912 MySleepApnea.com
  • 2. . Good sleep promotes health, safety, productivity & well-being
  • 3.  The average American sleeps less than 7 hours.  37% Of adults say they are so tired during the day, it interferes with daily activities.  35% Of adults nap at least once during the week.  Approximately 30 million Americans are victims of a sleep disorder called Obstructive sleep apnea.
  • 4. What is OSA: Obstructive Sleep Apnea?  People with OSA experience recurrent episodes during sleep where their throat closes and they cannot bring air into their lungs. This happens because the muscles that normally hold the throat open, relax during sleep and narrow.  These cessations can last as long as two minutes; as long as the individual is asleep the apnea continues. Arousal or wakefulness occurs and the tongue and throat muscles enlarge the airway, allowing air back into the lungs. All occurs with out ones knowledge.
  • 5. Depending on the degree of severity, OSA is a potentially life- threatening condition. Someone who has undiagnosed OSA, is likely to have a heart attack, stroke, cardiac arrest during sleep, or a harmful accident. In addition, awakening to breathe some hundreds of times in a single night cause the victim to become sleep deprived. There is a constant risk of serious accidents such as falling asleep while driving as well as impaired function in the workplace and in personal relationships.
  • 6. Some symptoms of OSA:  Fatigues and tiredness  Reduced sex drive and during the day. impotence.   Loud snoring; if snoring is Dry mouth upon punctuated by brief wakening. periods of silence or  Morning headaches. choking sounds, OSA is a  Rapid weight gain. certainty.  Frequent nocturnal  Obesity. urination.  Thick neck.  Memory lapses.  High blood pressure.  Difficulty concentrating.  Depressed mood.  Irritability.
  • 7.  15 Hours sustained wakefulness produces performance impairment = .05% BAC.  24 Hours = .10% BAC.  People with mild to moderate untreated sleep apnea performed worse than those with a 0.06% BAC.  On 4 hours of sleep, 1 beer can have the impact of a six-pack.
  • 8. Drowsy Driving National Statistics The National Highway Traffic Safety Administration estimates:  100,000 police-reported crashes annually  1,550 fatalities (4%)  71,000 injuries  $12.5 billion in monetary losses  1 million -1/6 off crashes are linked to inattention.
  • 9. Percent Reporting Their Experiences While Driving During the Past Year (% Yes) 57% 62% Driven a vehicle 51% 53% while feeling drowsy 51% 42%* 48%* 60% 1998 1999 23% 27% Dozed off while at 2000 17% 2001 the wheel of a vehicle 19% 17% 2002 12%* 10%* 2003 37%* 2004 2005 1% 2% Had an accident 1% because they dozed off 1% or were too tired 1% 1%* 1%* 4%* 0% 20% 40% 60% 80% 100%
  • 10. NHTSA National Survey of Distracted & Drowsy Driving
  • 11. Most happen between midnight -6:00 am & in mid-afternoon  (circadian dip).  The driver is alone & more likely to be male.  A single vehicle drifts off the road & hits a stationary object.  Most are rear-end or head-on collisions.  Many involve serious injuries and/or fatalities.  There is no evidence of breaking or evasive maneuvers – no skid markings.
  • 12. Factors of Accidents due to Sleepiness Occupational Factors  People with more than one job are 2x more likely to have a crash related to sleep. Working night shift increase risk by 6x Working more than 60hrs. Per week increases risk 40% Amount of Sleep  One fourth of drivers in sleep-related crashes & 1.3 of drivers fatigue-related crashes got less than 6 hours of sleep. Sleep Quality & Sleep Disorders  Drivers in crashes were 2x more likely to mention that they got inadequate sleep. Few drivers reported having a diagnosed sleep disorder –problem with public education?
  • 13. F.M.C.S.A Investigation into Sleep Testing Sleep apnea and driving is a volatile mix. Affected patients are 2 to 7 times more likely to be in an at-fault motor vehicle accident. Properly screening all commercial drivers for sleep apnea can prevent many traffic accident and save lives. Updated screening guidelines for obstructive sleep apnea in commercial drivers call for physicians to increase awareness of the prevalence of sleep apnea in the general public as well as among professional drivers. Those with OSA can still be medically qualified to drive a commercial vehicle if they do not meet the risk criteria for a traffic accident , or if they have documentation of their compliance with CPAP.
  • 14. CDL Medical Rules Go To White House The following recommendations went under counsel to the White House on September 3, 2008 and are currently waiting from the final approval to become law. •General Guidance, A diagnosis of OSA precludes an individual from obtaining an unconditional certification to drive a CMV. •Drivers who should be disqualified or denied certification if they have reported having sleepiness while driving or have had a crash associated with falling asleep. •Conditional Certification for individuals with OSA can conditionally be allowed to drive a CMV with a minimal CPAP compliance greater than 4 hours per day for 70% of days. •Referral for confirmation of diagnosis of severity, for individuals who under certain criteria will be required to undergo an evaluation to confirm the diagnosis of, and if necessary to stratify the severity of OSA. •Identification of individuals with undiagnosed OSA. Medical examiners should actively screen for OSA in all individuals who request fitness for duty cert. for the purpose of driving a CMV.
  • 15. •Method of diagnosis & severity; the preferred method of diagnosis and assessment of severity is an overnight PSG. •Treatment of OSA- Continuous Positive Airway Pressure (CPAP machines). The CPAP is the preferred method of therapy. Treatments with CPAP must demonstrate compliance and be documented objectively. •Alternatives to CPAP, dental appliances and/or surgery are considered to be potential alternatives to CPAP for the treatment of OSA. •Bariatric Surgery; re-evaluation by sleep study within 2 years required if they are NOT on CPAP therapy. •Oropharyngal, Tracheostomy, & Facial bone surgeries, maybe certified if cleared by a certified treating clinician.
  • 16. MySleepApnea, as a provider will customize programs to keep you running safely & smoothly.
  • 17. Let us show you the benefits!  Great Financial Savings: You can save money on your insurance premiums, help reduce your fees due to any fatigue related infrastructure.  Healthy Choices: Keeping your drivers safe & alert is the key. We can help by providing healthy alternatives to reduce the risk of sleep/fatigue related crashes.  YOUR Company Aspects: Each company has its own individual needs for compliance. MySleepApnea is designed to provide everything you need from testing equipment to final reports of compliance.
  • 18. o Sleep Testing: We provide portable Polysomnography (PSG). This test can be taken anytime, anywhere. o Diagnosis: Simply send back the PSG to our facility. The clinical data is read and interpreted by our Certified Sleep Clinician, and treatment modality is recommended. o Treatment: It is proven that CPAP machines are the most effective methods of treatment. CPAP has been identified as the only treatment demonstrated to reduce crash risk. o Compliance: We will also keep your recommended compliances up to code with your diagnosed drivers.
  • 19. When treated, drivers afflicted by sleep apnea feel better, thus makes sense that their productivity would increase. When you sleep better, you work better. Create the security in a sleep apnea program & help the retention in your fleet fostering the sense: “My company care about my health & safety by investing in me” Safe & healthy drivers are your companies greatest asset.

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