Citation

Desai AV, Ellis E, Wheatley JR, Grunstein RR. Med. J. Aust. 2003; 178(8): 396-399.

Affiliation

Sleep Research Group, Woolcock Institute of Medical Research, Sydney, NSW, Australia.

Comment In:

Med J Aust 2003;178(8):365-6.

Copyright

(Copyright © 2003, Australian Medical Association, Publisher Australasian Medical Publishing)

DOI

unavailable

PMID

12697012

Abstract

Obstructive sleep apnoea is associated with an increased risk of sleep-related motor vehicle accidents. Seven recent legal cases of fatal motor vehicle accidents on NSW roads are presented, where the driver who caused the accident was suffering from an unrecognised or under-treated sleep disorder. The legal outcomes in these cases were variable: some of the drivers have been acquitted and others have been jailed. All remained licensed to drive immediately after their accidents. In some of the cases, the driver was cleared of any culpable driving offence because of a defence of sleepiness or a sleep attack without warning ("Jiminez defence"). This appears at odds with current medical research and legal opinion in other countries. More research is needed to understand the relation between sleep disorders and awareness of sleepiness. Medical practitioners need to be aware of current advice and guidelines with respect to obstructive sleep apnoea and driving.

Language: en