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Surely there's some sort of charge that could be conjured up? Idk if there's anything like 'reckless driving' or something along those lines.
Judging by what he claims to be doing, someone who knows him could probably try to get him committed to a psych hold. If he's been deprived of sleep for as long as he says, he's well at the point of hearing voices etc.
Maggie's Law states that a sleep-deprived driver qualifies as a reckless driver who can be convicted of vehicular homicide. ... Maggie's Law defines fatigue as being without sleep for more than 24 consecutive hours and makes driving while fatigued a criminal offense.