I shot a 246/250, with no sleep in about 40 hours, using a Rock Island .45 with tiny "GI-style" sights. Granted, I threw a flyer that lost me two points at three yards...
![Embarassed :oops:](./images/smilies/icon_redface.gif)
Shooting after having just woken up... I've never had occasion to find out how accurate I'll be, and I hope to never require THAT particular skill. However, the drills mentioned above (waking up suddenly and performing a motor-skills task like tying shoes or duking it out with Airsoft) sound interesting