Annie Tonnu

DVLA – Cardiovascular MI/ACS 1 month (1week if successful PTCA) CABG 1 month Angioplasty/Pacemaker/prophylactic ICD 1 week (6months if ICD for treatment) Cardiac Catheter Ablation 48 hours Unstable Angina Stop driving AAA >6.5cm Stop driving

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 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