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Fatigue Management

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h. During a 96-hr operation in simulated NBC conditions, a<br />

battalion task force took 96 per cent longer to move to alternate<br />

battle positions than a similar control unit in non-NBC<br />

condtions 1 .<br />

Many of the physical, behavioral and psychological reactions to working and<br />

living in CPC are similar to those caused by fatigue and sleep loss, for<br />

instance, greater error rates, less delegation, reduced responsiveness to<br />

orders, increased irritation, reduced attention span, less accurate<br />

performance monitoring, disorientation and slower work rate. Furthermore,<br />

sleep quality is generally degraded by wearing protective clothing, especially<br />

if a mask must be worn. People in full CPC usually take longer to fall asleep<br />

and their sleep is considerably more disturbed.<br />

Two apparently incongruent conclusions appear to dominate field research on<br />

military performance in NBC environments. One general finding is that most<br />

standard military tasks can be performed satisfactorily, but that extra time is<br />

required to perform in CPC. The other main conclusion is that there is<br />

significant impairment in the performance of most military tasks while<br />

wearing full protective ensemble. This guide concludes that personnel<br />

performing continuous, highly physical workloads in CPC are likely to<br />

perform in a militarily effective manner for no more than six hours;<br />

effectiveness could be less than two hours if ambient temperature is high. In<br />

addition, command and control is generally degraded by wearing CPC due to<br />

increased exhaustion in leaders, adverse changes in leader temperament (eg,<br />

increased frustration) and the physical barriers to routine communication.<br />

Measures to prevent fatigue in NBC conditions must be incorporated into<br />

standard operating procedures. Research suggests several techniques and<br />

factors which can contribute to the prevention and regulation of fatigue and<br />

other adverse performance effects associated with working in CPC. These<br />

include: fostering high levels of physical fitness, practising sleeping in full<br />

CPC, ensuring heat acclimatisation, managing subordinate workloads with<br />

an understanding of the impact of CPC on performance and endurance,<br />

training in stress management techniques and allowing flexible work/rest<br />

ratios that are linked to ambient temperature and individual physiological<br />

differences (rest breaks of 5-15 minutes should occur at least hourly). Other<br />

techniques include enforcing drinking water discipline, using unconventional<br />

techniques for reducing fatigue, such as crew rotations, (which may require<br />

cross-training) working in the shade and when ambient temperature is at its<br />

lowest, and finally, extended training in CPC to both enhance habituation to<br />

1. Military Psychology, Volume 9 (4), Special issue on the Effects of Chemical Protective Clothing<br />

on Military Performance, 1997<br />

47

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