Part 3: Canadian Council of Motor Transport Administrators Medical Standards with B.C. Specific Guidelines

This page is an index of the Canadian Council of Motor Transport Administrators (CCMTA) Medical Standards.

Chapter 1 - Introduction

Chapter 2 - Medical Conditions at a Glance

Chapter 3 - Cardiovascular disease and disorders

• 3.6.1 Congenital heart defects
• 3.6.2 Acute Coronary Syndromes  – Non-commercial drivers
• 3.6.3 Acute Coronary Syndromes  –  Commercial drivers
• 3.6.4 Asymptomatic coronary artery disease or stable angina
• 3.6.5 CABG surgery – Non-commercial drivers
• 3.6.6 CABG surgery – Commercial drivers
• 3.6.7 Premature atrial or ventricular contractions
• 3.6.8 Ventricular fibrillation with no reversible cause – Non-commercial drivers
• 3.6.9 Ventricular fibrillation with no reversible cause – Commercial drivers
• 3.6.10 Hemodynamically unstable VT – Non-commercial drivers
• 3.6.11 Hemodynamically unstable VT – Commercial drivers
• 3.6.12 Sustained VT and an LVEF of < 35% – Non-commercial drivers
• 3.6.13 Sustained VT and an LVEF of <35% Commercial drivers
• 3.6.14 Sustained VT and an LVEF of >35% Non-commercial drivers
• 3.6.15 Sustained VT and an LVEF of >35% Commercial drivers
• 3.6.16 Non sustained VT
• 3.6.17 Paroxysmal SVT, AF or AFL with no impaired consciousness
• 3.6.18 Paroxysmal SVT, AF or AFL with impaired consciousness
• 3.6.19 Persistent or permanent paroxysmal SVT, AF or AFL
• 3.6.20 Sinus node dysfunction
• 3.6.21 Atrioventricular (AV) or intraventricular block – Non-commercial drivers
• 3.6.22 Atrioventricular (AV) or intraventricular block – Commercial drivers
• 3.6.23 Permanent pacemakers – Non-commercial drivers
• 3.6.24 Permanent pacemakers – Commercial drivers
• 3.6.25 Declined an ICD or have an ICD implanted as primary prophylaxis – Non- commercial drivers
• 3.6.26 Declined an ICD or have an ICD implanted as primary prophylaxis - Commercial drivers
• 3.6.27 ICD implanted as secondary prophylaxis for sustained VT – Non-commercial drivers
• 3.6.28 ICD implanted as secondary prophylaxis for sustained VT – Commercial  drivers
• 3.6.29 ICD therapy (shock or ATP) has been delivered – Non-Commercial drivers
• 3.6.30 ICD therapy (shock or ATP) has been delivered – Commercial drivers
• 3.6.31 ICD implanted as secondary prophylaxis for VF or VT – Non-commercial drivers
• 3.6.32 ICD implanted as secondary prophylaxis for VF or VT – Commercial drivers
• 3.6.33 Inherited heart disease – Non-commercial drivers
• 3.6.34 Inherited heart disease – Commercial drivers
• 3.6.35 Medically treated valvular heart disease – Non-commercial drivers
• 3.6.36 Medically treated aortic stenosis or aortic sclerosis – Commercial drivers
• 3.6.37 Medically treated aortic or mitral regurgitation or mitral stenosis – Commercial drivers
• 3.6.38 Surgically treated valvular heart disease – Non-commercial drivers
• 3.6.39 Surgically treated valvular heart disease – Commercial drivers
• 3.6.40 Mitral valve prolapse – All drivers
• 3.6.41 Congestive heart failure – Non-commercial drivers
• 3.6.42 Congestive heart failure – Commercial drivers
• 3.6.43 Left ventricular dysfunction or cardiomyopathy – Non-commercial drivers
• 3.6.44 Left ventricular dysfunction or cardiomyopathy – Commercial drivers
• 3.6.45 Heart transplant – Non-commercial drivers
• 3.6.46 Heart transplant – Commercial drivers
• 3.6.47 Hypertrophic cardiomyopathy – Non-commercial drivers
• 3.6.48 Hypertrophic cardiomyopathy – Commercial drivers
• 3.6.49 Syncope
• 3.6.50 CCS recommendations regarding transient conditions (Waiting Periods)

Chapter 4 - Cerebrovascular disease

• 4.6.1 Transient ischemic attack (TIA)
• 4.6.2 Cerebrovascular accident (CVA)
• 4.6.3 Cerebral aneurysm that requires surgical repair
• 4.6.4 Surgery to repair a cerebral aneurysm – Non-commercial drivers
• 4.6.5 Surgery to repair a cerebral aneurysm – Commercial drivers

Chapter 5 - Chronic renal disease

• 5.6.1 Stage 1 to 4 renal disease (Commercial and Non-Commercial)
• 5.6.2 Stage 5 – End-stage renal disease – All Drivers (Commercial and Non-Commercial)
• 5.6.3 Renal transplant

Chapter 6 - Cognitive impairment including dementia

• 6.6.1 Cognitive impairment or dementia
• 6.6.2 Severe Dementia

Chapter 7 - Diabetes and Hypoglycemia

• 7.6.1 Type 2 diabetes – All drivers
• 7.6.2 Type 1 or type 2 diabetes treated with insulin – Non-commercial drivers
• 7.6.3 Type 1 or type 2 diabetes treated with insulin – Commercial drivers
• 7.6.4 Episode of severe hypoglycemia – Non-commercial drivers - Also applies to severe hypoglycemia while sleeping
• 7.6.5 Episode of hypoglycemia unawareness within past year – Non-commercial drivers
• 7.6.6 Persistent hypoglycemia unawareness – Non-commercial drivers
• 7.6.7 Episode of severe hypoglycemia – Commercial drivers - Also applies to severe hypoglycemia while sleeping
• 7.6.8 Episode of hypoglycemia unawareness  in the last year– Commercial drivers
• 7.6.9 Persistent hypoglycemia unawareness – Commercial drivers
• 7.6.10 Summary Table of Diabetes Conditions and Driver Medical Standards
• 7.6.11 Doctor’s report on commercial driver with diabetes on insulin
• 7.6.12 Driver’s report – commercial driver with diabetes on insulin

Chapter 8 - General debility and lack of stamina

• 8.6.1 Frailty, weakness or general debility

Chapter 9 - Hearing loss

• 9.6.1 Hearing loss – Non-commercial drivers
• 9.6.2 Hearing loss – Commercial drivers
• 9.6.3 Hearing report

Chapter 10 - Intracranial tumours

• 10.6.1 Intracranial tumour

Chapter 11 - Musculoskeletal conditions

• 11.6.1  Loss of upper or lower extremities-All Drivers
• 11.6.2  Chronic musculoskeletal condition

Chapter 12 - Neurological disorders

• 12.6.1 Neurological disorder

Chapter 13 - Peripheral vascular diseases

• 13.6.1 Peripheral arterial disease
• 13.6.2 Abdominal aortic aneurysm – Non- commercial drivers
• 13.6.3  Abdominal aortic aneurysm – Commercial drivers
• 13.6.4  Surgically repaired abdominal aortic aneurysm or surgically treated aortic dissection
• 13.6.5  Deep vein thrombosis

Chapter 14 - Psychiatric disorders

• 14.6.1 Psychiatric disorder– All drivers

Chapter 15 - Drugs, Alcohol and Driving

• 15.6.1  Medication – Prescribed - All Drivers
• 15.6.2  Medication – Non Prescribed (Over the Counter) – All drivers
• 15.6.3  Substance Use Disorder  - All drivers
• 15.6.4  Alcohol, Cannabis and Driving – All drivers

Chapter 16 - Respiratory diseases

• 16.6.1  Mild impairment
• 16.6.2  Moderate impairment – Non-commercial drivers
• 16.6.3  Severe impairment – Non-commercial drivers
• 16.6.4  Requiring supplemental oxygen – Non-commercial drivers
• 16.6.5  Moderate impairment – Commercial drivers
• 16.6.6  Severe impairment or requiring supplemental oxygen – Commercial drivers

Chapter 17 - Seizures and epilepsy

• 17.6.1  Provoked seizures caused by a structural brain abnormality
• 17.6.2  Provoked seizures with no structural brain abnormality
• 17.6.3  Alcohol-Withdrawal seizures
• 17.6.4  Single unprovoked seizure – Non-commercial drivers
• 17.6.5  Single unprovoked seizure – Commercial drivers
• 17.6.6  Epilepsy – Non-commercial drivers
• 17.6.7  Epilepsy with seizures only while asleep or upon awakening – Non-commercial drivers
• 17.6.8  Epilepsy with simple partial seizures – Non-commercial drivers
• 17.6.9  Surgery for epilepsy – Non-commercial drivers
• 17.6.10 Surgery for Epilepsy - Commercial drivers
• 17.6.11 Epilepsy with medication change – Non-commercial drivers
• 17.6.12 Epilepsy – Commercial drivers
• 17.6.13 Epilepsy with seizures only while asleep or upon awakening -Commercial Drivers
• 17.6.14 Epilepsy with simple partial seizures - Commercial Drivers
• 17.6.15 Epilepsy with medication change - Commercial drivers

Chapter 18 - Sleep disorders

• 18.6.1 OSA – All drivers
• 18.6.2 Narcolepsy – Non-commercial drivers
• 18.6.3 Narcolepsy – Commercial drivers

Chapter 19 - Syncope

• 19.6.1 Single episode of typical vasovagal syncope – Non-commercial drivers
• 19.6.2 Single episode of unexplained syncope or atypical vasovagal syncope – Non- commercial drivers
• 19.6.3 Syncope with a reversible cause
• 19.6.4 Syncope with a diagnosed and treated cause – Non-commercial drivers
• 19.6.5 Recurrent typical vasovagal syncope – Non-commercial drivers
• 19.6.6 Recurrent situational syncope with an avoidable trigger
• 19.6.7 Recurrent atypical vasovagal or recurrent unexplained syncope – Non- commercial drivers
• 19.6.8 Single episode of typical vasovagal syncope – Commercial drivers
• 19.6.9 Syncope with a diagnosed and treated cause – Commercial drivers
• 19.6.10 Single or recurrent unexplained, single or recurrent atypical vasovagal, or recurrent typical vasovagal syncope – Commercial drivers

Chapter 20 - Traumatic brain injury

• 20.6.1 Traumatic brain injury

Chapter 21 - Vestibular disorders

• 21.6.1 Recurrent episodes of vertigo that occur with warning symptoms
• 21.6.2 Recurrent episodes of vestibular dysfunction that occur without warning symptoms – All drivers
• 21.6.3 Drop attacks (Tumarkin’s otolithic crisis)
• 21.6.4 Single episode of vestibular dysfunction – transient impairment
• 21.6.5 Vestibular disorder resulting in a persistent impairment

Chapter 22 - Vision impairment

• 22.6.1 Impaired visual acuity – Non-commercial drivers
• 22.6.2 Impaired visual acuity – Commercial drivers
• 22.6.3 Visual field loss – Non-commercial drivers
• 22.6.4 Visual field loss – Commercial drivers
• 22.6.5 Loss of stereoscopic depth perception or monocularity – All drivers
• 22.6.6 Diplopia
• 22.6.7 Impaired colour vision