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Recognize the signs in:
• Yourself
• As a Passenger
• Other Drivers
The National Road Safety Foundation, Inc.
How much sleep did you get last night?
How much should you have?
How much should a teenager have?
Would you believe 9 to 10 hours?
Did you know?
• 85% of adolescents get less than recommended sleep on school nights
• 56% of teens report getting less sleep than they need
• By 12th grade average sleep on school nights is 6.9 hrs.– By end of week sleep debt=10.5 hours
Good Sleep
• Healthier
• Attractive
• Taller
• Stronger
• Faster
• More athletic
• Smarter
NSF poll
• 28% fall asleep at least one time per week• 22% fall asleep doing homework• Less sleep
– Lower grades– Depressed mood
• “A” Students– Sleep 15 min more than B students– 26 min more than C students– 36 min more than D students
• Teachers were able to predict students sleep amounts by academic and classroom behavior
Primary Symptoms of ADHD
• Hyperactivity
• Inattention
• Impulsivity
• Distractibility
• Difficulty concentrating
• Forgetful
• Difficulty waiting or taking turns
Sleep Deprivation in Kids
• Hyperactivity
• Inattention
• Impulsivity
• Distractibility
• Difficulty concentrating
• Forgetful
• Oppositional behavior
• Moodiness and irritability
Did you know?
• It is estimated that at least 50% of kids diagnosed with ADHD actually have sleep disorder.
What happens when you don’t sleep?
Consequences of Sleep Deprivation• Cognitive and social impairment• Decreases ability to think
– Creative– Problem solving– Abstract thought– Decision making/judgement
• Mood and depression• Reduced endurance• Increased risk seeking behavior• Impaired motor function
– Decreased coordination– Blurred vision– Prolonged reaction time
• Delayed visual reaction time• Delayed auditory reaction time
Fatigue vs. Alcohol
17 hours sustained wakefulness produces performance impairment = .08% BAC
24 hours = .10% BAC (Dawson & Reid, 1997; Williamson & Feyer, 2000).
Synergistic effectOn 4 hours sleep, 1 beer can have the impact of a six-
pack (Roehrs et al., 1994)
*Approximate breath ethanol concentration (BrEC) at peak; †Above 0.05% for legal intoxication in many states. N=32 healthy subjects without prior sleep deprivation and with 85% sleep efficiency. Sleep loss group (n=12) was tested in all 4 conditions, with 3 to 7 days of recovery time between tests, and compared with ethanol group (n=20).Roehrs T, et al. Sleep. 2003;26:981-985.
BrE
C, %
*
Sleep time (hours in bed)
0.045
0.095 0.102
0.190
0.00
0.05
0.10
0.15
0.20
6 4 2 0
Le
ga
l Into
xic
atio
n†
Hours of Sleep and Equivalent Blood Alcohol Level for Sedative Effects
Why don’t you get enough sleep?
Not a priority
Not enough sleep
• Sleep just is not set as a priority– School– Homework– Sports– Social life– Television– Internet– Etc all get in the way
They want to sleep, but aren’t able
• Their internal clock is shifted several hours later.– Bedtimes shifts to 11-1am
• Trying to go to bed at 10 is similar to adult trying to go to bed at 8 pm
– Wake up times shift accordingly • Shortened sleep time
Junk sleep
• 98.5% have at least one electronic device in their bedroom (TV, Phone or mp3 player)– 65% had all 3– Greater number of items
• Less amount of sleep
• Greater amount of daytime sleepiness
Sleep Disorders
• Obstructive sleep apnea syndrome
• Restless Legs/Periodic Limb Movement
• Parasomnias
• Insomnia– Stress/worry/body clock
Tips to help sleep
• Make sleep a priority!!!!!• Establish regular sleep schedule and routine
– Encourage relaxing, non-alerting activity• Read• Write • Avoid TV and PC
• Make Bedroom a NO gadget zone.– Place recharging station in kitchen not bedroom.
• Avoid Caffeine. • Expose yourself to light in the morning.• Exercise, but not too close to bedtime.• Avoid late naps
What are signs of Drowsy Driving?
• Difficulty focusing• Frequent blinking• Daydreaming at the wheel• Drifting from your lane• Swerving or tailgating• Can’t remember last few miles driven• Yawning and head snaps• Missing exits or traffic signs
Who drives drowsy?
Who Drives Drowsy? By age
30-64, 52% 65+, 19% 18-29, 71%
51% of adolescents who drive report that they have driven drowsy in the past year
16% of 11th graders and 20% of 12th graders drive drowsy once a week or more. *
* NSF's 2006 Sleep in America poll
Indicators of Typical Drowsy Driving Crash
Between midnight and 6:00 am Secondary peak in midafternoon
Lone, Male driverA single vehicle drifts off the road
Hits stationary objectOr rolls vehicle
Most are rear-end or head-on collisionsMany involve serious injuries and/or fatalitiesNo severing or skid marks (Pack, 1995, Knipling &
Wang 1995)
Driver ASLEEP, DROWSY
Driver DISTRACTED
(As specified on 1043 reports)
- 82%
- 18%
Drift-off crashes as Self Report
• This suggests that drivers are able to accurately assess sleepiness while driving but do not act accordingly– Nabi, Et al 2006, BMJ
How do YOU stay awake while driving?
Which of these work?• Energy Drinks
• Roll down the windows
• Turn up the radio (49%)
• Talk on cell phone (22%)
• Change radio station, CD or MP3
• Turn down the air conditioning
• Sing along with the radio
• Speed (11%)
• Text Message (11%)
Countermeasures• Watch for the warning signs of fatigue
– Co-pilot • If sleepy
STOP DRIVING
GET ENOUGH SLEEP!!!!!
• Take a 20-30 minute nap• Consume at least 200 mg of caffeine prior
• 75% of teens reported seeing their peers driving while fatigued.
How you can help• Tell everyone you know our story.• Never Drive Drowsy.• Visit TyREDD website or Facebook page. Share
the link and help spread the word.• Never ride in a car with a Drowsy Driver.• Plan ahead, get enough sleep, and recognize the
signs of Drowsy Driving• Never Believe this won't happen to you….Tyler
Did now I am telling his story to save someone else's life!