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Fatigue Management

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With frequent food, how long can you go without sleep? You<br />

can manage a third night without sleep and maybe a<br />

fourth, with all the symptoms getting worse, with attention<br />

harder and harder to command, with more and more<br />

activity necessary to keep you awake...<br />

Psychology for the Fighting Man<br />

YANK: The Army Weekly, 3 Sep 1943<br />

Sleep is perhaps the major cyclic event in our lives, and it ranks with food and<br />

water as crucial to health and survival. Common sense tells us that sleep<br />

helps to restore mind and body. It is clear that sleep is essential if soldiers are<br />

to maintain operational efficiency.<br />

No human being knows how sweet sleep is but a soldier.<br />

J.S. Mosby<br />

War Reminiscences, 1887<br />

Although sleep is a feature in our lives, there remains a great deal of<br />

uncertainty about why we sleep, how sleep occurs and what actually happens<br />

during sleep. Sleep is not a state of inactivity as many would think. Rather,<br />

sleep is associated with complex and highly organised activities in the body<br />

and the brain. In fact, many aspects of our physiology are busier during sleep<br />

than when we are awake (for example, the secretion of several hormones) and<br />

show remarkably stable patterns of activity. At the same time, sleep inhibits<br />

some systems and abilities, inducing a disconnection from the outside world,<br />

whereby sensory input is blocked or suppressed to such an extent that we<br />

become temporarily blind and deaf.<br />

A definition of sleep. The unconscious state regularly and naturally<br />

assumed by man. Sleep is characterised by an almost complete absence of<br />

outward movement and reduced sensory awareness. During sleep, both<br />

mental and physical recuperation take place. Sleep shows a complex,<br />

highly organised pattern of diverse physiological variables.<br />

Stages of Sleep<br />

Recordings of electrical waves in the brains of sleeping humans show five<br />

quite distinct stages of sleep, extending from light sleep to progressively<br />

deeper sleep. These different stages are associated with brain waves of<br />

different characteristics as shown in Figure 1.<br />

2

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