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DiscussionSpecial Reports

Fatal Consequences: Obstructive Sleep Apnea in a Train Engineer

Mary Pat McKay
The Annals of Family Medicine November 2015, 13 (6) 583-586; DOI: https://doi.org/10.1370/afm.1868
Mary Pat McKay
National Transportation Safetey Board, Washington, DC
MD, MPH
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    Table 1

    NTSB Accidents Related to Sleep Apnea

    Accident LocationYearModeFatalitiesInjuriesBrief Description
    Baltimore, MD2000Rail transit017A transit train ran into the end-of-track bumping post.
    Jackson, TN2000Highway11A tractor trailer struck a state trooper vehicle in a work zone, then crossed the median and struck a passenger vehicle.
    Clarkston, MI2001Rail22One freight train failed to stop at a signal and struck another freight train head on.
    Memphis, TN2002Highway52A 15-passenger child care van ran off the road.
    Hilo, HI2008Aviation00Both flight crew on a Mesa Airlines commercial flight fell asleep and overflew the destination airport.
    Newton, MA2008Rail transit18A transit train passed a stop signal and rear ended a stopped train, both loaded with passengers.
    Miami, OK2009Highway106A tractor trailer ran into a queue of traffic, striking several passenger vehicles.
    Port Arthur, TX2010Marine00An oil tanker, the Eagle Otome, collided with 2 other ships; more than 460,000 gallons of oil spilled into the waterway.
    Red Oak, IA2011Rail20A freight train passed a stop signal and crashed into a stopped rail maintenance train.
    Chaffee, MO2013Rail05One freight train failed to stop at a signal and struck another freight train, causing the collapse of a highway overpass.
    TOTAL2141

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    Fatal Consequences: Obstructive Sleep Apnea in a Train Engineer

    Mary Pat McKay

    Background This special report by the chief medical officer for the National Transportation Safety Board describes the findings of the investigation into the probable cause of the derailment of a Metro-North passenger train in the Bronx, New York, on December 1, 2013 that resulted in four deaths and injuries to 59 additional people.

    What This Study Found A key finding of the medical investigation was the engineer?s post-accident diagnosis of severe, obstructive sleep apnea, which led investigators to determine the probable cause of the accident was the engineer having fallen asleep while operating the train. The accident highlights the importance of screening, evaluating and ensuring adequate treatment of obstructive sleep apnea, especially among patients working in positions where impairment of physical or cognitive function or sudden incapacitation may result in serious harm to the public.

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The Annals of Family Medicine: 13 (6)
The Annals of Family Medicine: 13 (6)
Vol. 13, Issue 6
November/December 2015
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Fatal Consequences: Obstructive Sleep Apnea in a Train Engineer
Mary Pat McKay
The Annals of Family Medicine Nov 2015, 13 (6) 583-586; DOI: 10.1370/afm.1868

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Fatal Consequences: Obstructive Sleep Apnea in a Train Engineer
Mary Pat McKay
The Annals of Family Medicine Nov 2015, 13 (6) 583-586; DOI: 10.1370/afm.1868
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