I had an oddball temp job right before going back to school fulltime in 89'. A group of us ferried buses to Dallas. I had just gotten off my last 24 hr EMS shift in Gainesville Tx and figured to sleep in the van on the way up. No such luck. Eight guys farting and snoring in the back of a van all the way to Mt Pleasant IA (home of the Bluebird Bus Co) I ended up driving the last four hours because I couldn't sleep. We got there at about 0630, I was working on about 48 hour without sleep right there.
We each picked out a bus, fueled up, and started back after breakfast.
Long trip, lots of caffeine -this was in the days of Jolt Cola.
The hallucinations started while driving through the Arbuckle Mtns, OK at about hour 66. They were pretty mild i.e. the roof of the bus disappeared and I imagined seeing the stars and snow falling directly overhead.
I sang a lot -mostly Christmas songs because thats all I really knew the words to. A couple of years later, and it would have been bawdy rugby songs
We hit Denton right at my 72 hour mark. We finished up in Dallas, I got home and couldn't sleep right away, it took at least two more hours. caffeine over load I guess. I was physically sick for several days afterward -diarhea and headache mainly.
24hr shifts with no sleep were a regular thing for me until a couple of years ago, my regular schedule was two 12 hr shifts followed by a 24hr shift. 48 hrs in 3 days and four days off. Sleep on the 24 hr shift was when/if, and very frequently it just didn't happen.
I'm amazed at what the human body can tolerate.