EMS burnout is a national public safety issue

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P. Daniel Patterson, a University of Pittsburgh professor of emergency health care worker safety and paramedic, knows firsthand the dangers of chronic fatigue in emergency medical services work.

After responding to over 15 calls during a 32-hour shift with little rest, the author describes one particularly chaotic call when he missed early signs of a life-threatening heart condition in a patient. Although the patient ultimately received care, the delay highlighted how sleep deprivation slows cognition, increases distraction and can directly affect patient outcomes.

More than 80% of paramedics and EMTs report chronic fatigue, with many getting fewer than six hours of sleep before shifts. Chronic sleep loss is linked to higher rates of injury, medical errors, cardiovascular disease and heart attacks – particularly among night-shift workers.

While Patterson's story is rooted in Pittsburgh, its relevance is national. He describes an industry where staffing shortages, mandatory overtime and long shifts are common in EMS systems across the United States. He also explains how napping, while not common practice, could improve public safety.

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Cassandra Stone

Pittsburgh Associate Editor

The reality of EMS work is that most paramedics and emergency medical technicians work 12-, 24-, and 48-hour shifts. Svitlana Hulko/iStock Collection/Getty Images Plus

After a 32-hour shift in Pittsburgh, I realized EMTs should be napping on the job

P. Daniel Patterson, University of Pittsburgh

A paramedic and university professor shares data about how strategic napping could help his own health while saving the lives of others.

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