Fatal distraction: a case series of fatal fall-asleep road accidents and their medicolegal outcomes
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. T...
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Veröffentlicht in: | Medical journal of Australia 2003-04, Vol.178 (8), p.396-399 |
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creator | Desai, Anup V Grunstein, Ronald R Ellis, Elizabeth Wheatley, John R |
description | 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. |
doi_str_mv | 10.5694/j.1326-5377.2003.tb05258.x |
format | Article |
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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.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2003.tb05258.x</identifier><identifier>PMID: 12697012</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject>Accidents, Traffic ; Automobile Driving - legislation & jurisprudence ; Awareness ; Biological and medical sciences ; Death ; Driver fatigue ; driving ability ; Ethics and law ; fatigue ; Humans ; Liability ; Medical sciences ; Miscellaneous ; New South Wales ; New South Wales: Social conditions ; Obstructive sleep apnoea ; Respiratory tract diseases ; Risk Factors ; Safety ; Sleep ; sleep apnea ; Sleep Apnea, Obstructive - complications ; Sleep Apnea, Obstructive - diagnosis ; Sleep disorders ; Surveys ; Traffic accidents ; traffic safety ; Traumas. Diseases due to physical agents</subject><ispartof>Medical journal of Australia, 2003-04, Vol.178 (8), p.396-399</ispartof><rights>2003 AMPCo Pty Ltd. All rights reserved</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4978-b3a5b1c3ad7a56fec5b8bb8d03cf8c5d268851782d4bff5f4f77f30d728c67873</citedby><cites>FETCH-LOGICAL-c4978-b3a5b1c3ad7a56fec5b8bb8d03cf8c5d268851782d4bff5f4f77f30d728c67873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2003.tb05258.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2003.tb05258.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14742592$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12697012$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desai, Anup V</creatorcontrib><creatorcontrib>Grunstein, Ronald R</creatorcontrib><creatorcontrib>Ellis, Elizabeth</creatorcontrib><creatorcontrib>Wheatley, John R</creatorcontrib><title>Fatal distraction: a case series of fatal fall-asleep road accidents and their medicolegal outcomes</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>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.</description><subject>Accidents, Traffic</subject><subject>Automobile Driving - legislation & jurisprudence</subject><subject>Awareness</subject><subject>Biological and medical sciences</subject><subject>Death</subject><subject>Driver fatigue</subject><subject>driving ability</subject><subject>Ethics and law</subject><subject>fatigue</subject><subject>Humans</subject><subject>Liability</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>New South Wales</subject><subject>New South Wales: Social conditions</subject><subject>Obstructive sleep apnoea</subject><subject>Respiratory tract diseases</subject><subject>Risk Factors</subject><subject>Safety</subject><subject>Sleep</subject><subject>sleep apnea</subject><subject>Sleep Apnea, Obstructive - complications</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep disorders</subject><subject>Surveys</subject><subject>Traffic accidents</subject><subject>traffic safety</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUtv1DAUhS0EokPhLyALCXYJfsSx092oYnioiA1I7CzHj9YjTxxsj2j_Pc5MRJeIlW3d75xrnQPAG4xa1g_d-32LKekbRjlvCUK0LSNihIn2_gnY_B09BRuECGs4GX5egBc57-sTM8KfgwtM-oEjTDZA71RRARqfS1K6-DhdQQW1yhZmm7zNMDroToxTITQqB2tnmKIyUGntjZ1KhmoysNxZn-DBGq9jsLdVEI9Fx4PNL8Gzqs321Xpegh-7D9-vPzU33z5-vt7eNLobuGhGqtiINVWGK9Y7q9koxlEYRLUTmhnSC8EwF8R0o3PMdY5zR5HhROieC04vwbuz75zir6PNRR581jYENdl4zJJTPFBB6D9BPJCeEIwreHUGdYo5J-vknPxBpQeJkVy6kHu5BC6XwOXShVy7kPdV_HrdchxrLI_SNfwKvF0BlbUKLqlJ-_zIdbwjbFi47Zn77YN9-I8vyK9ftuR0rx67s0c6-CLVrFyRd6XMWZparvSTi6dJTLfSRL-YU4p76W2o8MkXdQxT-geww8CP</recordid><startdate>20030421</startdate><enddate>20030421</enddate><creator>Desai, Anup V</creator><creator>Grunstein, Ronald R</creator><creator>Ellis, Elizabeth</creator><creator>Wheatley, John R</creator><general>Australasian Medical Publishing Company</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20030421</creationdate><title>Fatal distraction: a case series of fatal fall-asleep road accidents and their medicolegal outcomes</title><author>Desai, Anup V ; Grunstein, Ronald R ; Ellis, Elizabeth ; Wheatley, John R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4978-b3a5b1c3ad7a56fec5b8bb8d03cf8c5d268851782d4bff5f4f77f30d728c67873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Accidents, Traffic</topic><topic>Automobile Driving - legislation & jurisprudence</topic><topic>Awareness</topic><topic>Biological and medical sciences</topic><topic>Death</topic><topic>Driver fatigue</topic><topic>driving ability</topic><topic>Ethics and law</topic><topic>fatigue</topic><topic>Humans</topic><topic>Liability</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>New South Wales</topic><topic>New South Wales: Social conditions</topic><topic>Obstructive sleep apnoea</topic><topic>Respiratory tract diseases</topic><topic>Risk Factors</topic><topic>Safety</topic><topic>Sleep</topic><topic>sleep apnea</topic><topic>Sleep Apnea, Obstructive - complications</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep disorders</topic><topic>Surveys</topic><topic>Traffic accidents</topic><topic>traffic safety</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Desai, Anup V</creatorcontrib><creatorcontrib>Grunstein, Ronald R</creatorcontrib><creatorcontrib>Ellis, Elizabeth</creatorcontrib><creatorcontrib>Wheatley, John R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desai, Anup V</au><au>Grunstein, Ronald R</au><au>Ellis, Elizabeth</au><au>Wheatley, John R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fatal distraction: a case series of fatal fall-asleep road accidents and their medicolegal outcomes</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2003-04-21</date><risdate>2003</risdate><volume>178</volume><issue>8</issue><spage>396</spage><epage>399</epage><pages>396-399</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><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.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>12697012</pmid><doi>10.5694/j.1326-5377.2003.tb05258.x</doi><tpages>4</tpages></addata></record> |
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language | eng |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Accidents, Traffic Automobile Driving - legislation & jurisprudence Awareness Biological and medical sciences Death Driver fatigue driving ability Ethics and law fatigue Humans Liability Medical sciences Miscellaneous New South Wales New South Wales: Social conditions Obstructive sleep apnoea Respiratory tract diseases Risk Factors Safety Sleep sleep apnea Sleep Apnea, Obstructive - complications Sleep Apnea, Obstructive - diagnosis Sleep disorders Surveys Traffic accidents traffic safety Traumas. Diseases due to physical agents |
title | Fatal distraction: a case series of fatal fall-asleep road accidents and their medicolegal outcomes |
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