Police officers have a difficult and sometimes dangerous job. The public relies upon police forces to protect our lives, solve crimes, and be role models for our communities. But unfortunately, there is one threat to cops’ safety that can’t be locked up.
A new study published in the Journal of the American Medical Association involving 4,957 municipal, state, county and other law enforcement officers across North America revealed that 40 percent of participants screened positive for a sleep disorder and most were undiagnosed and untreated. The most common sleep disorder found was Obstructive Sleep Apnea (OSA). Moderate to severe insomnia affected 6.5 percent, and 28.5 percent of police officers showed excessive sleepiness.
These numbers are especially alarming considering the sensitive nature of police work and the long hours spent behind the wheel. “Sleep disorders expose individuals to increased sleepiness, which elevates the risk of motor vehicle crashes. We found that excessive sleepiness is common in police officers and that almost half report having fallen asleep while driving and about 25 percent report that it occurs at least monthly,” said Shantha Rajaratnam, PhD, co-lead author of the research paper. “Positive screening for a sleep disorder increased the risk of falling asleep while driving after work, depression and burnout by more than two-fold.”
But the results of the study yielded some optimistic insights as well. Massachusetts State Police (MSP) were found to have a significantly lower risk for OSA than the municipal or nationwide police officers, who were nearly 60 to 80 percent more likely to screen positive for OSA. The researchers hypothesize that the comprehensive on-the-job physical fitness program implemented years ago by the MSP may account for the lower rates of both OSA and obesity (a major risk factor for OSA) observed among this group. Recognition and identification of sleep disorders as health risks can help other departments across the country to develop similar programs and keep our civil servants safe.
“SCAPPOOSE, OREGON- A crash on Highway 30 blacked out power to several towns along the busy highway just as rush hour hit Tuesday morning.
Reports that the power was out in Scappoose came in to KATU News just before 8 a.m. Later reports indicated that no one was hurt in the crash and that power was out from Warren to Scappoose.
Oregon State Police said a car hit a power pole near Berg Road on Highway 30 just before 7:30 a.m. and power lines were down at the scene.
The driver, identified as Pamela Somers, 57, of Rainier, fell asleep at the wheel and her car drifted across traffic lanes on Highway 30 before hitting a sign and a power pole, according to police.
The impact sent power lines down onto Berg Road. Somers suffered minor injuries and no other vehicles were involved. Somers was taken to a Longview hospital.
Electrical utility crews scrambled to get the power back on to thousands of residents. Traffic signals along Highway 30 were also knocked out, causing delays for commuters.”
If you feel tired when driving, it is vital that you pull over to take a nap. Trying to power through your fatigue does not work and can endanger the lives of everyone on the road. If you are constantly fatigued after a full night’s sleep, you may be suffering from an underlying sleep disorder. To be screened for sleep disorders contact the sleep specialists at Oregon Sleep Associates.
As the summer months approach and thoughts drift to vacation plans around the country and abroad, many people who have been treated for Obstructive Sleep Apnea with continuous positive airway pressure, or CPAP, may wonder how to maintain a healthy night’s sleep away from home.
Traveling by airline with a CPAP
Since 9/11 many restrictions have been put in place to increase security on airlines. One inconvenient measure has been the reduction of the number of bags allowed as carry-ons. This is one instance where having a CPAP machine and knowing your rights can come in very handy. The FAA classifies CPAP as a medically necessary device. This means that passengers are allowed to bring the machine and its bag on board as an extra carry-on. Savvy travelers can will find that CPAP bags, when well packed, can provide much needed valuable real estate in these times of $50 checked luggage. TSA handlers are generally well versed with CPAPs but may ask you to remove the machine from it’s bag for additionally screening, including swabbing for explosive residue, at the security checkpoints. If you happen to encounter an overzealous TSA agent that tries to make you check your CPAP, present them with this document issued by the Department of Transportation stating the machine is to be allowed through. An official note from your doctor showing medical necessity doesn’t hurt either, especially in foreign lands.
International Travel
Most currently produced PAP machines from major manufacturers utilize international power supplies. This means they can automatically adjust for different voltages, such as 240, without the need for special equipment. This eliminates the danger of burning out a PAP while on vacation. However, travelers will still have to bring plug adapters along to fit into different sized wall outlets. And it is prudent to look up contact information for your CPAP manufacturer in the destination country. If something goes wrong with your machine, having a certified repair center nearby can mean the difference between a memorable vacation and a ruined trip.
Camping with CPAP
Many people think that having a CPAP will stop them enjoying outdoor trips such as camping , hunting, and hiking. But newer CPAP machines are very portable and easy to use without a constant power source. There are now reliable battery powered CPAP units that can be recharged on the road via car adapters. Depending on the pressure level used, these units can provide overnight power for several nights before needing a recharge. Don’t want to spring for another machine? No worries, universal battery packs are also available for most major CPAP machine models on the market. These batteries are small, long lasting, and utilize the latest in battery advances. And most major companies, such as Resmed and Respironics offer car cigarette lighter adapters which make RV or car camping with CPAP easy.
For more information about traveling with CPAP, contact a qualified DME provider like the ones at Oregon Sleep Associates.
Drowsy driving is a very dangerous and under addressed problem facing our population. Each year thousands of accidents are caused by momentary fatigue-related lapses in attention and drivers simply falling asleep behind the wheel. Now companies are taking a proactive approach to keeping drivers awake.
Long hours on the road increase the risk for falling asleep whether you’re a trucker or just an average driver. A vehicle moving at 60 miles an hour can travel hundreds of feet in just seconds so nodding off momentarily can be fatal. According to the National Highway Traffic Safety Administration more than 100,000 police-reported crashes, resulting in 1,550 deaths and another 71,000 injuries each year are caused by drowsy driving.
Mercedes Benz recently developed a system to be integrated into their cars which can sense steering angle trends and corrections made by the driver. By analyzing these trends, the system can recognize variations that may indicate drowsiness and alert the driver. Other companies such as Saab are developing similar systems.
For those of us without Mercedes, there are aftermarket solutions available. Devices like the NoNap or DozeAlert can be worn over a person’s ear. These device monitors the angle of the driver’s head and sounds a buzzer when the person nods off.
The Anti Sleep Pilot requires more interaction with the driver. The hockey puck sized device is programed and placed on the dashboard. The driver must respond to cues by touching the device when prompted. It determines reaction time and cross-references this information with risk factors for falling asleep. Then a recommendation to take a break is given.
These are all novel ways to address the problem of drowsy driving, however the root cause is not being fixed. People are too fatigued and distracted in the car. Often there can be an underlying sleep disorder causing excessive fatigue. People with Sleep Apnea have double the risk of being involved in a car crash than those who don’t suffer from the condition. Before you get behind the wheel, make sure you get tested for sleep disorders. You might save a life.
It’s that time of year again. The airports are crowded with people traveling home, the store shelves are packed with gravy and stuffing, and turkeys everywhere are looking around nervously. After the feast is over, we’ll all loosen our belts and relax for a nap. Invariably, some Uncle or Aunt will repeat what they say every year, “Did you know that it’s the Tryptophan in the Turkey that makes you tired?” And everyone will nod and then drift off. But this year, you can amaze your family by jumping up and exclaiming, “Not true!”
Your startled relatives will be surprised to learn that despite popular belief, the Tryptophan in the Thanksgiving turkey is not a strong sleep inducing factor. Tryptophan is a essential amino acid for humans derived from our diets. In it’s purified form it can be a mild sleep inducing substance. However, to get large levels of Typtophan to the brain, it must be taken on an empty stomach. When consumed with other foods, Tryptophan loses it’s effectiveness because it has to compete with other substances trying to cross the blood brain barrier.
“Tryptophan is taken to the brain by an active transport system shared by a number of other amino acids, and there’s competition among them—like a crowd of people trying to get through a revolving door,” said Simon Young, a neurochemist at McGill University in Montreal, Canada in National Geographic.
Not enough of the Tryptophan from Thanksgiving turkey reaches the brain to cause drowsiness. In fact, though turkey contains a fair amount of the amino acid, many other foods such as beef contain more. Yet we never hear about a “post steak” nap.
So what does make us nod off every year after the meal?
Well, Thanksgiving usually involves eating thousands of calories which we normally wouldn’t ingest all at once. This amplifies the normal post lunch tiredness as your body tries to digest and metabolize this massive amount of food and leads to nap time. So this year after you munch away, try going out for a nice walk to burn off some of those excess calories.
A recent news story from Westfield, Massachusetts vividly illustrates how the danger of falling behind the wheel. From WWLP 22 in Massachusetts:
“An SUV barreled through a Westfield business around 6:43 Sunday evening. Sgt. Raymond Manos told 22News that 42-year-old Tina Richard of Ludlow crashed her Jeep Grand Cherokee through the Four Mile Country Store on Russell Road in Westfield. Her four-year-old daughter was in the car with her. Both were transported to Noble Hospital with minor injuries. Sgt. Manos said Richard passed a field sobriety test. He said there was no indication that she was drunk or had abused drugs. He said she may have fallen asleep. Luckily, the store was closed and no one was inside at the time of the crash.”
Driving while sleep deprived can inhibit reaction times as much as driving while drunk. Also it has been shown that having Obstructive Sleep Apnea doubles your risk of having a serious crash with personal injuries. If you feel tired while driving, pull over and take a nap. Driving while drowsy puts everyone’s life at risk. For more information about drowsy driving or to set up an appointment to be tested for a sleep disorder contact Oregon Sleep Associates.
