An OSCE case featuring a 68-year-old woman presenting after a high-speed motor vehicle accident caused by a suspected microsleep. Candidates must identify an unstable L2 (Chance) fracture on CT, recognise the need for spinal immobilisation and neurosurgical input, and discuss missed steps in trauma management such as failing to call a trauma alert or consultant. The case also explores professionalism in providing feedback to a junior registrar and the importance of assessing microsleep as a potential medical cause.
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