Awesome, guys, thanks.
I agree with Nemafow.
How about: At any time where an exhausted PC (or a PC who hasn't slept for 72 hours) has not moved or attacked for a number of rounds equal to his Constitution score, he must make a Fortitude save DC 10, every round, until he falls asleep. For every round after the first, the save increases by 1. If the PC is standing up, he gets a +2 to the save, but if he is lying down, he takes a -2 to the check.