Annie Tonnu

DVLA – Cardiovascular

 MI/ACS  1 month  (1week if successful PTCA)  Cardiac Catheter Ablation  48 hours  CABG  1 month  Unstable Angina  Stop driving  AAA >6.5cm

 Stop driving  Angioplasty/Pacemaker/prophylactic ICD  1 week (6months if ICD for treatment)

DVLA – Diabetes

 On tablets or diet  No restrictions  On insulin  Can drive car if hypo aware  Cannot drive HGV

DVLA – Neurology

 Syncope simple/explained  No restrictions  Unexplained syncope + low risk/treated  1 month  Unexplained syncope  6 months  Narcolepsy  Til symptom controlled  1 st seizure  6 months  TIA/CVA  1 month  Multiple TIA  3 month  Craniotomy for meningioma  1 year  Pituitary craniotomy  6 month

DVLA – Drugs

 Alcohol misuse  6months  Alcohol dependence  1 year  Cannabis/Amphetamine/LSD/Ecstasy  6 months  Heroin/Cocaine/Methadone  1 year

DVLA – Vision

 Field defects  Notify DVLA  Need VF assessment to meet national criteria  Monocular vision loss  Notify DVLA  Can drive if VA+VF normal in 1 eye  Blepharospasm  Consultant opinion

FLYING – Cardiovascular

 Unstable angina/BP/arrythmia/decompensated HF/symptomatic valve disease  No flying  Simple MI  7- 10 days  Complicated MI  4- 6 weeks  CABG  10 – 14 days  PTCA  5 days

FLYING – Respiratory

 Pneumonia  Can fly if not infectious and clinically recovered  Pneumothorax  No flying or 2 weeks after drainage  1 week after normal xray post drainage  Diabetes  No restriction if well controlled but beware insulin may degrade if exposed to extreme temperature in the hold

FLYING – Surgery

 Abdominal  10days  Laparoscopic/Colonoscopy  24h  Plaster cast  24h if short haul (2h) flights  48h if long haul  Brain Surgery  7 days  Eye surgery or penetrating eye injuries  7 days

FLYING – Other

 Pregnancy >36/40 (or >32/40 if multip)  No flying  Pregnancy >28/40  Certificate confirming normal progress  Anaemia  >8g/dl – can fly  CVA  10 days (if stable, may fly after 3days)  Sickle Cell Crisis  10 days