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Fatigue Management

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Adaptation. The time taken to deploy, and variations in climate in the new<br />

location, can contribute to both fatigue and sleep disruption. Differences in<br />

temperature and humidity can impact significantly on physiological<br />

processes and require quite lengthy acclimatisation (up to three or four<br />

weeks) before predeployment levels of performance are regained. Short-notice<br />

deployments, characteristic of operations other than war, often lack amenities<br />

and basic living conditions (in the initial stages at least). The resulting<br />

discomfort will add further to the challenges of adaptation.<br />

Lessons Learned from Somalia: A forward staging base<br />

should be considered for long deployments. Troops could<br />

arrive, rest and then complete a last short leg by C-130 or<br />

similar aircraft into the theatre.<br />

ABCA Lessons Learned Newsletter<br />

Vol 1, July 1994<br />

Drugs. Prescribed drugs, although not recommended, have enabled some<br />

troops to function effectively immediately after deplaning. In particular, it is<br />

claimed that melatonin may allow some individuals to more quickly ‘reset'<br />

their internal clocks. Other medications, especially sleeping pills, are<br />

probably best avoided, as they may cause sleeplessness when opportunity<br />

sleep arises, impair performance by slowing response time, impede natural<br />

recovery from stress, retard circadian readjustment, interact negatively with<br />

other substances and impact adversely on mood.<br />

Accidents and <strong>Fatigue</strong><br />

Humans, if sufficiently sleep deprived, will sleep even if it means putting their<br />

life at great risk. Countless transport accidents attest to this compelling need<br />

to sleep even in the face of death. <strong>Fatigue</strong> also reduces judgement especially<br />

the ability to sense the stealthy transformation of sleepiness into sleep itself.<br />

<strong>Fatigue</strong>, associated with the circadian disruption of night-shift, has been<br />

implicated in the Chernobyl nuclear disaster (started 0125 hours), the<br />

accidents at the Three Mile Island nuclear power plant (0400 hours) and the<br />

Bophal chemical plant (0057 hours), and the ill-fated decision to launch the<br />

Challenger space shuttle. Research has shown that night-shift workers are<br />

almost twice as likely as day workers to have traffic accidents, while travelling<br />

home from work, presumably due to the effects of chronic sleep deprivation<br />

and circadian influences.<br />

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