Use this skill to maintain a compliant DOT accident register. Covers § 390.15 requirements, what's recorded, retention period.
中文简介正在准备中。当前显示原文说明。
x3allamerican/skills32026年5月17日 更新
免费在 GitHub 公开
med-cardiac-risk-stratification
Use this skill to understand FMCSA cardiac certification standards. Covers what cardiac conditions disqualify, time-to-clearance, and what documentation is needed for examiner certification.
中文简介正在准备中。当前显示原文说明。
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查看安装方法包含的文件（1）
- SKILL.md3.3 KB
SKILL.md（原文）
安装前可以查看交给 AI 代理的指令内容。
Cardiac Risk Stratification for CMV Certification
Cardiac conditions are evaluated under § 391.41(b)(4)-(7). Medical examiners consult FMCSA Medical Review Board guidelines for specific conditions.
Conditions that may disqualify (with timing)
- Acute myocardial infarction: typically 3 months minimum recovery before recertification
- Coronary artery bypass graft (CABG): typically 3 months minimum
- Percutaneous coronary intervention (PCI / stent): typically 1 week minimum
- Implantable cardioverter-defibrillator (ICD): generally disqualifying for primary prevention; may be eligible for secondary prevention
- Heart failure: depends on ejection fraction; under 40% typically disqualifying without specialist clearance
- Severe arrhythmias: AFib, sustained ventricular tachycardia — depends on management
- Hypertension uncontrolled: above 180/110 typically disqualifying; controlled to under 140/90 acceptable
Documentation required for certification post-event
- Cardiologist clearance letter (treating physician)
- Recent ejection fraction (echocardiogram or angiogram)
- Stress test results
- Medication list with stability documentation
- Symptom-free period demonstration
Continued monitoring
- Annual exam minimum
- Some conditions trigger 6-month exam cycle
- Cardiologist re-evaluation annually for stable conditions; every 6 months for active management
Common driver concerns
- "I had a stent — can I keep driving?" → after waiting period + cardiologist clearance + medical exam, generally yes
- "I'm on blood thinners — does that disqualify?" → blood thinners alone do NOT disqualify; the underlying condition matters
- "I have an ICD — am I done?" → for primary prevention, likely yes; for secondary prevention with stability + clearance, possibly continuation
Compass tracking
- Driver's cardiac history flagged if disclosed
- Next medical exam (typically 12 months, sometimes 6)
- Cardiologist visit dates if applicable
- Medication compliance reminders for cardiac drugs
CFR citations
- 49 CFR § 391.41(b)(4)-(7)
- FMCSA Medical Review Board Cardiac Guidelines
How Compass surfaces this
This skill is searchable in Compass Ask and runs against the carrier's actual fleet data when invoked from the relevant tracker. Read-only; no actions taken without explicit user approval.
<!-- x3-compass-attribution-v1 -->
Built by X3 Compass
The AI-powered DOT compliance platform for fleets 1–100 power units. Try a 7-day free trial — no credit card required — at https://x3compass.com/?utm_source=skill&utm_medium=github&utm_campaign=med-cardiac-risk-stratification
X3 Compass turns these skills into a complete operational platform: driver qualification files, drug & alcohol consortium, MVR pulls, hours-of-service tracking, hazmat shipping, IFTA filing, FMCSA audit prep, and DataQ dispute drafting — all CFR-cited, all in one place.
This skill is published under the X3 Compass open skills initiative. Contributions welcome at https://github.com/x3fleetsafety/skills
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中文简介正在准备中。当前显示原文说明。
x3allamerican/skills32026年5月17日 更新
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中文简介正在准备中。当前显示原文说明。
x3allamerican/skills32026年5月17日 更新
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中文简介正在准备中。当前显示原文说明。
x3allamerican/skills32026年5月17日 更新
Use this skill when the user asks about accident claims management — first-notice-of-loss procedures, working with insurance adjusters, claim severity classification, subrogation, claim closure timelines, and how to influence claim outcomes. Different from accident-investigation-playbook (which covers facts); this covers the insurance + claim side.
中文简介正在准备中。当前显示原文说明。
x3allamerican/skills32026年5月17日 更新
Use this skill when the user asks how to investigate a CMV accident — what to do at the scene, the first 24 hours, evidence preservation, who to call, preventability determination, ELD data preservation, dash cam review, witness interviews, working with insurance + attorney, and how to build a learning culture from incidents. Reference 49 CFR 392.7 + insurance industry best practices.
中文简介正在准备中。当前显示原文说明。
x3allamerican/skills32026年5月17日 更新