2010 BC Guide in Determining Fitness to Drive

22.5 CompensationAs syncope causes an episodic impairment of the functions necessary for driving, compensationdoes not apply.GUIDELINESThe following table indicates the guidelines applicable to the various types of syncope that maybe experienced by private and commercial drivers.SingleepisodeRecurrentType of syncopeGuidelines forprivate driversGuidelines forcommercialdriversTypical vasovagal 22.7 22.11Unexplained 22.7 22.14Atypical vasovagal 22.7 22.14Reversible, diagnosed or treated cause 22.8 22.12Typical vasovagal 22.9 22.14Situational 22.9 22.13Unexplained 22.10 22.14Atypical vasovagal 22.10 22.1422.6 Policy rationaleThese guidelines are based primarily on recommendations contained in the final report of the2003 Canadian Cardiovascular Society (CCS) Consensus Conference Assessment of the CardiacPatient for Fitness to Drive and Fly. When applying these guidelines, the CCS indicates thatwaiting periods may be modified based on individual factors such as length of any reliablewarning symptoms (prodrome), reversible or avoidable precipitating factors, and position fromwhich the individual experiences syncope.290