DVLA Flashcards
(12 cards)
How long drive after stroke / TIA?
Group 1 vs group 2?
Do need to notify?
Group 1
- 1 month after clinical recovery
- DON’T need to notify (unless ongoing probs)
Group 2
- 1 year
- DO need to notify
Seizures
- 1st fit?
- epilepsy / abnormal EEG?
- Group 1 vs group 2
Group 1
1st fit – inform DVLA – 6 months
Epilepsy/abnormal EEG – increased risk – 12 months
Diagnosed epilepsy – seizure-free for 12 months
Group 2
1st fit (& no antiepileptics used): 5 years
epilepsy – seizure-free off medications for 10 years
TLOC:
- vasovagal / syncope w trigger/reversible cause?
- unexplained syncope (incl w no trigger)?
(group 1 vs group 2 for both)
vasvagal / triggered
- group 1: while standing: can drive & DON’T need to inform DVLA. while sitting: must not drive for 4 weeks (inform DVLA if not resolved)
- group 2: no driving for 3 months && inform DVLA
Unexplained syncope (sitting or standing):
- group 1: 6 months (if CV & treated - may drive after 4 weeks)
- group 2: 12 months (if CV & treated - may drive after 3 months)
nb if recurrent unexplained syncope then group 1 12months, group 2 10 years
time also greater if cough syncope
Other neuro conditions which need to inform DVLA (aside from strokes, TLOC & seizures)
some can still drive with
- narcolepsy
- MS / MND / PD (any chronic reduction in strength / coordination)
- ‘disabling dizziness’
- amyloid spells
- PRES / RCVS
- visual inattention (barred)
- carotid artery stenosis (group 2 only)
- encephalitis / meningitis
- pituatory tumour
- brain tumours / cysts
- metastatic brain tumours
- brain biopsy
- traumatic brain injury (post-traumatic amnesia >24hrs, seizures, haematomas or contusions)
- subdural haematoma
- SAH
- intracranial aneurysm
- AV malformation
- intracerebral abscess
- chiari malformation
- hydrocephalus
- DBS etc insertion
What 3 things do pts with visual impairment have to prove before can have licence back (group 1)?
What about group 2?
number pate @ 20m, peripheral fields 120 degrees, diplopia needs controlled
Group 2: may need to go to DVLA
Driving rules for ACS? (Group 1 & 2)
Incl if need to inform DVLA
Rules if CABG?
Group 1:
- no driving for 1 week if successful revascularisation & LVEF >40%
- if no revasc or EF worse: ban for 4 weeks
- DON’T need to inform
Group 2:
- MUST inform DVLA
- may be reinstated after 6/52 if revasc & LVEF >40%
Nb same w elective PCI
If CABG: 4 weeks (group 1) or 3 months (group 2)
Driving rules for arrythmias
Group 1 &2
Eg sinoatrial node, significant AV block, AF/flutter, narrow or broad tachy
Must not drive if arrythmia has caused or likely to cause incapacity (unable to control or stop a vehicle)
Group 1: no inform
Group 2: inform
Can drive again if underlying cause been identified and controlled for 4 weeks (group 1) or 3 months (group 2)
Other cardiac conditions with driving restrictions
- post-catheter ablation (2 days-3/12)
- pacemaker implant (1-6 weeks)
- complete heart block (until pacemaker)
- ICD (all must notify, group 1: 1/12-2years, group 2: permanent ban)
- aortic aneurysm (depends on size)
- aortic dissection (all notify)
- malignant HTN
- HOCM (group 2 only)
- heart failure: ejection fraction <40% (permanent ban for group 2)
- LV assist device
- heart transplant
- pulm HTN (both must notify)
- SYMPTOMATIC/severe heart valve disease (group 2 and AS in group 1) & post-surgery
- symptomatic congenital heart disease
- long QT syndrome
- brugada syndrome
Insulin-dependant diabetes driving rules group 1? 4 points
Group 2??
INSULIN
ALL MOST NOTIFY DVLA
Group 1:
- adequate awareness of hypos
- no more than 1 episode of severe (need assistance from others) hypo while awake in last 12 months (and none in last 3 months)
- appropriate glucose monitoring (before and every 2hrs)
- meets visual standards for driving
Group 2:
- same as group 1 but no severe hypo in 12months and license reviewed annually
Nb can use libre for group 1, but not group 2
Non-insulin dependent diabetes rules
For sulfonylureas: same rules as insulin
If other tablets: group 1 don’t need to notify, group 2 do need to notify but norm no problem
(If diet controlled: no notify or restrictions)
Driving rules: Severe anxiety / depression (significant memory / concentration problems, agitation, suicidal thoughts)
Group 1
- INFORM dvla
- no driving for 3 months then r/v
Group 2
- INFORM dvla
- no driving for 6 months then r/v
Driving rules: psychotic episode
Group 1:
- INFORM dvla
- no driving for 3/12
- may be resumed after that if favourable report
Group 2:
- INFORM dvla
- no driving for 12 months
- may be resumed after that if favourable report
