What should an ME do if a driver reports positive cardiac symptoms?

In the situation where a driver reports positive cardiac symptoms, the most appropriate action is to refer the driver to a specialist for further evaluation. This is crucial because cardiac symptoms can indicate serious underlying health issues that require expert assessment to determine the severity and implications for the driver's ability to operate a commercial vehicle safely.

Directly certifying a driver without addressing reported cardiac symptoms overlooks potential health risks that could endanger both the driver and others on the road. Sending the driver to a physical therapist may not adequately address potential cardiac conditions, as therapy typically focuses on rehabilitation rather than diagnosis of serious issues. Scheduling a follow-up appointment in six months does not address the immediate concern associated with reported symptoms and could leave the driver at risk during that time.

Referring the driver to a specialist ensures that they receive the necessary evaluation and treatment, thereby supporting safety and compliance with FMCSA guidelines regarding driver health.