Sleepless vigilance: "Stonewall" Jackson and the duty hours controversy.

Abstract

Confederate general "Stonewall" Jackson has been called "one of the greatest military geniuses the world ever saw." However, on critical review of his command decisions during the course of 12 of the 20 battles he fought during the American Civil War, historians have rated his performance as poor.

In this investigation, the authors examined the effect of sleep deprivation on Jackson's battle decisions in light of experimental data driving current calls for limiting the duty hours of physicians.

Full Text

• DOI - The American journal of the medical sciences (DOI)
• Swets Information Services - full-text online
• Ovid Technologies, Inc. - full-text online
• Lippincott Williams & Wilkins - full-text online

Subjects

• American Civil War
• Attention
• Decision Making
• Famous Persons
• History, 19th Century
• Humans
• Male
• Military Personnel
• Physicians
• Sleep
• Sleep Deprivation
• United States

Similar articles

• A solution to the decreased resident exposure to open operations in the era of minimally invasive surgery and restricted duty hours may be with organ procurement and transplantation surgery. (2012-07-07)
• Effect of the 2011 vs 2003 Duty Hour Regulation-Compliant Models on Sleep Duration, Trainee Education, and Continuity of Patient Care Among Internal Medicine House Staff: A Randomized Trial. (2013-03-27)
• Attention and working memory in resident anaesthetists after night duty: group and individual effects. (2004-01-23)
• Sympathetic predominance in young male white-collar workers with mild to moderate hypertension. (2001-05-08)
• Viewpoints from generation X: a survey of candidate and associate viewpoints on resident duty-hour regulations. (2004-06-14)
• Permanent diversion stomas: "guidelines for muslim physicians and patients". (1995-07-01)
• Out-of-hours utilization in primary and secondary care. A favourable experience in a Finnish health centre. (1998-10-28)
• When 'solutions of yesterday become problems of today': crisis-ridden decision making in a complex adaptive system (CAS)--the Additional Duty Hours Allowance in Ghana. (2012-09-27)
• Lo Spedale di Poveri, the hospital for the poor in Milan: 15th to 20th century. (2004-10-01)

Authors

• Philip A Mackowiak
• Frederic T Billings
• Steven S Wasserman

Publication date

2012-01-24

Journal

Journal topics

• Medicine

Language

Eng.

Copyright

The American journal of the medical sciences

Medical Care Clinical Center, VA Maryland Health Care System, Baltimore, Maryland, USA. philip.mackowiak [at] med.va.gov

Release reference

Am J Med Sci. 2012 Feb;343(2):146-9

Related books

• Books of American Civil War
• Books of Attention
• Books of Decision Making
• Books of Famous Persons
• Books of History, 19th Century
• Books of Medicine
• Books of Military Personnel
• Books of Physicians
• Books of Sleep
• Books of Sleep Deprivation
• Books of United States