What paperwork should a Medical Examiner have for certifying a driver with cardiac insufficiency?

A Medical Examiner must consider various factors when certifying a driver with cardiac insufficiency to ensure that the driver can safely operate a commercial vehicle. To make an informed decision, the Medical Examiner should ideally have access to a normal resting and stress ECG, which helps assess the heart's function under both resting and stress conditions. This information is crucial in determining the severity of cardiac insufficiency and whether it poses a risk for the driver while operating a vehicle.

Additionally, it is important to verify that the driver has no physical limitations that could impede their ability to drive safely. This means assessing their overall health and any conditions that may restrict their physical capabilities.

Moreover, confirming that the driver is not taking medications likely to interfere with their ability to drive is essential, as certain medications can impair judgment, reaction time, or overall physical capability.

Considering these requirements, having all these factors—normal ECG results, no physical limitations, and an assessment of medications—is vital in certifying a driver with cardiac insufficiency. Therefore, the most comprehensive and appropriate choice is that the Medical Examiner should have all of the factors mentioned to ensure the safety and health of the driver on the road.