What is the longest period of time you have gone without sleeping? And why?

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When I worked in a hospital I used to have to do on-call.
I'd generally do every other Friday and one in 5 weekends but if my Friday was next to one of my week-ends I'd swap it.
One week I couldn't so I got to work at 8:30am on the Friday and got home at 6pm the following Monday.
During that I'd had less than 1 hour's sleep as we'd had a couple of very ill patients in that needed constant monitoring from me.
 
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