The Emergency Mind Podcast

EP 74: Dr. Mike Stone on The Night Shift

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Dec 1, 2022
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ANECDOTE

Solo Nights At A Critical-Access ED

  • Dr. Mike Stone described flying monthly to a coastal critical-access hospital for consecutive overnight shifts with solo coverage.
  • He expanded his procedural skills and read more to prepare for broader responsibilities.
ADVICE

Pre-Shift Sleep And Caffeine Strategy

  • Prioritize a 1.5–2 hour pre-shift nap or stay up late to sleep in before night shifts to align sleep cycles.
  • Drink coffee before the shift and avoid continuous sipping to protect post-shift sleep quality.
ADVICE

Control Light To Protect Circadian Rhythm

  • Use bright light exposure after waking and wear heavy sunglasses after shift to entrain circadian rhythm.
  • Limit morning light after a night shift to preserve your melatonin pulse for daytime sleep.
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