If a driver has a blood pressure reading of 165/90 mm Hg, what should the medical examiner do next?

When a driver presents with a blood pressure reading of 165/90 mm Hg, the appropriate action involves careful monitoring and further assessment rather than immediate disqualification. A reading in this range is indicative of Stage 1 hypertension based on the American College of Cardiology/American Heart Association guidelines, which necessitates further evaluation.

By performing a second measurement, the medical examiner can confirm whether the elevated reading is consistent or if it was an isolated incident influenced by factors such as anxiety or other situational stressors. This step is critical because a single high reading does not necessarily indicate chronic hypertension or the need for immediate action.

Documenting the initial reading and possible steps taken is important, but taking a second measurement provides a clear basis for decision-making. If the follow-up reading remains elevated, the examiner can then make informed guidelines regarding the driver's medical fitness.

Sending the driver to an emergency department would typically be reserved for acute situations, such as significantly elevated blood pressure or presenting symptoms of hypertension-related complications, neither of which is indicated by a single reading of 165/90 mm Hg alone. Immediate disqualification without further assessment does not allow for the possibility that the driver may be fit for duty after proper evaluation and management.