Fatigue in the Emergency Medical Services (EMS) workplace is widespread. Reports of fatigue-related events that involve ambulance crashes, personnel injury, patient death, and other negative outcomes are on the rise (1-7). There is growing evidence that greater than half of EMS personnel report mental and physical fatigue while at work (8). Half of EMS personnel report poor sleep quality and half obtain less than six hours of sleep per 24-hour period (8). More than one third of EMS personnel report excessive daytime sleepiness (9), and half report not getting the recovery they need between shifts (10). Workplace fatigue is a threat to EMS patients, personnel, and the public.
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