Sleep cycling

WuLabsWuTecH

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So question:

For the first time in my year in EMS, I ran all night recently. I maybe had 2 naps of 30 minutes in the afternoon and just over an hour between 3 and 4am. The next day driving home I was obviously tired. and when I got home I wanted to sleep forever but I was afraid that if I did so I wouldn't be able to sleep that night and my sleep schedule would be screwed up.

What do you guys do when you've been running all night?
 
Crash because I have no set sleep schedule anyway.
 
grab a couple of hours during the day. The only thing that keeps you going is when the tones go off and you get an adrenaline rush:P
 
Do Mountain Dew Bombs (That is Redbull and mountain dew together or using mountain dew as a redbull chaser.) and tough itout.
 
Do Mountain Dew Bombs (That is Redbull and mountain dew together or using mountain dew as a redbull chaser.) and tough itout.

Step one, make sure your pulse isn't faster than your patients.

Step two, disregard step one for bradycardic patients

My advice, rest, your body needs it. Whether you sleep or not is your choice, but if it's morning and I just got off an all nighter, I'll take a couple hour nap and get going for the rest of the day... Unless I have another night shift, in which case I'll sleep the day away. ^_^ If you have trouble falling asleep at night then, a little vitamin-d (diphenhydramine) might help.
 
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Step one, make sure your pulse isn't faster than your patients.

Step two, disregard step one for bradycardic patients.

Hey the palpitations just let you know you're alive :P (....For now....)
 
I usually like to take a quick 5 mile run. It keeps me up for several hours. If you have time, take a nap during the day, just don't let the sleep inertia take over. If you feel your schedule will be out of order, call your girlfriend.
 
I just sleep days. Um, except for last semester when I had school on the days I worked, then, it was nap for a couple hours, then, up for work. Try to catch cat naps between calls. I was basically up for 4 days straight, every week during that time, no bueno.
 
Hey the palpitations just let you know you're alive :P (....For now....)
Rule of EMS #14: It is possible to consume too much caffeine before responding to a call.
Rule of EMS #15: If your cardiac rhythm changes from a sinus rhythm to something a cardiologist would have a hard time identifying, you have violated Rule #14.
 
Rule of EMS #14: It is possible to consume too much caffeine before responding to a call.
Rule of EMS #15: If your cardiac rhythm changes from a sinus rhythm to something a cardiologist would have a hard time identifying, you have violated Rule #14.
What do you guys do when you've been running all night?

Two words: designated driver. Seriously, when I've been up all night and I'm exhausted, I make my fiancee come get me lest I get in a crash on the way home (and it's less than a three mile drive). Also, I've slept in an empty hospital bed for a few hours if I can't get a ride home. This was also my practice when I ran as a professional EMT-I. I would rack out on the couch for 4-5 hours before driving home.

As someone who does safety research for his other job, I think it would look really bad for me to get myself into an accident because I'm tired. If almost anyone should know better, it's someone in my situation.
 
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I work a 24 on Tuesdays. When we had 2 trucks up it was great, but now we only have 1 and we are pretty much slammed all night.

Generally I try to get a shift for about 11am after my 24 as OT. So I finish my shift at 0700 then get back into my bunk and sleep till 1100 and do my next shift. Basically, I always found the day after a 24 to be a waste of the day so i work it instead.

But that was before school! Now I'm just tired all the time!
 
If I have time to sleep, whether 15 minutes or 5 hours, I do. But I can always go back to sleep, no matter how much I've just slept, so I don't worry about insomnia later on. Failing that, exercise works pretty well.

I'm also a fan of the designated driver thing. I live pretty far from one of my jobs, and I'll either take a bus or get a friend to come get me if I'm too tired to drive. I fell asleep behind the wheel a few times before I started in EMS, and I'm eager not to repeat the experience.

One of my jobs doesn't mind if we catch an extra hour or three after our shifts end. It's the best perk ever.
 
I worked nights for over 4 years in NYC before leaving. Two of those years requires me to be up two days a week after shift's end to watch my infant/toddler daughter while my wife worked so as not to have to pay for a full week of day care. A typical shift was 2000-0800, 2200-0600, 1200-0800, or 1900-0700.

I noticed several things.

First, I was good to go for about two hours after work, if I have a cup of coffee in me. I'm basically useless between the hours of 1000-0500 if I don't get a power nap.

Second, A shorter nap of maybe 45 minutes to an hour tops left me refreshed and able to function, but a 2-4 hour sleep leaves me in a fog and very lazy for several hours afterward.

On a day where I get to crash after work, such as when my daughter was in daycare, I would be devoid of energy untill about 1800 hours, and suddenly I would feel like a million bucks. This would last until about 0200, at which point I would hit a wall (figuratively).

On the days that I was free to sleep, I would wake up after 4 hours or so and hit the gym for some hard PT. I felt that this helped me cope, and was a good stress release as well.

If you want to be functional for the daytime as a priority, I would take any time you could to get sleep from 2000-2100 hours and on. Any time that you can spend overnights not being awake will help lessen the blow to your circadian rhythms. Try not to sleep from 1100 to 1600 hrs. A 2-3 hour nap before work if you're not on 24's and on a night shift will help. If you want to be a night owl, just get about 5-6 hours from late morning to mid afternoon, and touch that up with one to three hours at night, if possible.

Try to limit caffeine hits until you absolutely, positively need it.

Something else I've discovered, if you eat a bag or two of chips (or nuts if you don't eat junk)while driving home fatigued, it keeps you awake while you're doing it. No joke. If you finish the chips, however, watch out!
 
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I worked nights for over 4 years in NYC before leaving. Two of those years requires me to be up two days a week after shift's end to watch my infant/toddler daughter while my wife worked so as not to have to pay for a full week of day care. A typical shift was 2000-0800, 2200-0600, 1200-0800, or 1900-0700.

I noticed several things.

First, I was good to go for about two hours after work, if I have a cup of coffee in me. I'm basically useless between the hours of 1000-0500 if I don't get a power nap.

Second, A shorter nap of maybe 45 minutes to an hour tops left me refreshed and able to function, but a 2-4 hour sleep leaves me in a fog and very lazy for several hours afterward.

On a day where I get to crash after work, such as when my daughter was in daycare, I would be devoid of energy untill about 1800 hours, and suddenly I would feel like a million bucks. This would last until about 0200, at which point I would hit a wall (figuratively).

On the days that I was free to sleep, I would wake up after 4 hours or so and hit the gym for some hard PT. I felt that this helped me cope, and was a good stress release as well.

If you want to be functional for the daytime as a priority, I would take any time you could to get sleep from 2000-2100 hours and on. Any time that you can spend overnights not being awake will help lessen the blow to your circadian rhythms. Try not to sleep from 1100 to 1600 hrs. A 2-3 hour nap before work if you're not on 24's and on a night shift will help. If you want to be a night owl, just get about 5-6 hours from late morning to mid afternoon, and touch that up with one to three hours at night, if possible.

Try to limit caffeine hits until you absolutely, positively need it.

Something else I've discovered, if you eat a bag or two of chips (or nuts if you don't eat junk)while driving home fatigued, it keeps you awake while you're doing it. No joke. If you finish the chips, however, watch out!

Or chew gum.
 
Chips work better, since you have to physically reach into the bag, grab a chip, and bring it to your mouth. Not very difficult, but it does engage the brain enough to stave of sleepiness.
 
Chips work better, since you have to physically reach into the bag, grab a chip, and bring it to your mouth. Not very difficult, but it does engage the brain enough to stave of sleepiness.

Ah, I have a bad habit of swallowing gum a couple of chews later, so the same effect for me :P
 
Chips work better, since you have to physically reach into the bag, grab a chip, and bring it to your mouth. Not very difficult, but it does engage the brain enough to stave of sleepiness.

Gum's better for me. I tend to drop the chip or break it everywhere, and then automatically try to pick it up, which means I'm completely distracted.
 
to each is own on this topic. You will find what works for you. but pretty much a life in ems is a chaotic one. We are different from any other job in the country thus are sleep cycle or lack of one is common. I solid nap when I get home does the trip although ill still be a slow all day. Good Luck!
 
You would be amazed how many patients i have transported in the last year who work graveyard shifts. They usually have htn anyway, they are lacking in sleep, and they just drank an energy drink of some type. They are having chest pain, sob, they're tachy and they think they are dying!!! Do not drink mtn dew and do not drink energy drinks. Unless of course, you want your squad to haul you to the hospital for the above s/s. My brother, who used to drink copuious amounts of mtn dew was told by his dr to quit. He is only 54 and has recently developed a fib. The doc told him mtn dew will give you osteosporosis, tachycardia, etc. He now drinks decaf mtn dew which i think is probably still bad for him. Eat well, sleep while you can because you just jinxed yourself. First time in a year that you did an all nighter? Man, you should have been in my town last week-end..sleepless in river city:)
 
Life is hazardous to your health.

I'll take my mountain dew and redbull, thank you.
 
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