Casualty 24/7 - Season 9

Sister Jane has started her shift and has just walked onto the floor to find that every single area of the department is full, with 90 patients in need of help from the casualty team.

As if it wasn't busy enough inside the department, there's now a problem outside too. Doctor Jake Mullen and a team of nurses have been alerted to an 86-year-old screaming in pain in the car park. Mary has fallen over landing badly on her hip and once she's placed onto a trolley is rushed straight to resus. Doctor Mullen must work quickly to find out whether her injuries could be life threatening.

Another emergency is on the way. Paramedics are blue-lighting in a 54-year-old who's had back-to back seizures at home. The last time this happened abscesses were found on Paul's brain. Although Paul now appears well, there are too many red flags. Nurse Aleena immediately asks Doctor Hridesh Chatha to assess him. If the abscesses have come back, Paul is in danger of needing emergency brain surgery.

On busy days like today, the team of volunteers like Jane, play a vital role in keeping the department moving. One of the most vital jobs the volunteers help with is keeping the patients who are staying the longest, fed and watered.

Over in Paediatrics, four-year-old Kian may have broken his thumb after a fall. His mum Becky is with him and waiting to find out what the damage is. Nurse Greg assesses him and orders an urgent x-ray.

And paramedics are bringing in an 80-year-old who's been struggling to breathe. Advanced Clinical Practitioner Chantelle heads to Cubicle 4. Patricia's oxygen levels are worryingly low, so she needs to quickly find the reason why.

It's Bank Holiday weekend, but for the team at Barnsley Casualty it's business as usual. They're bracing themselves for a chaotic day and in charge of the shift is Sister Jane alongside Consultant James Griffiths. To make matters worse Barnsley are playing a key football match and once it's over they expect the patient numbers to suddenly rise.

The first emergency is on its way: 52-year-old Maggie is being rushed in after a serious car crash. Doctor Griffiths started treating this patient before he even clocked on, as the accident happened near to where he lives. Maggie has the bone disease osteoporosis, and it's suspected that she's badly broken her leg.

Over in Minors is the latest addition to the Barnsley Casualty team: Emergency Nurse Practitioner Clare. Her next patient is 70-year-old Stephen, who's suffered a deep wound to his head after falling over while walking his neighbour's dog. Emergency Nurse Practitioner Clare needs to remove every piece of grit embedded in his skin to avoid the wound becoming infected.

Back in the Hub, Sister Jane is trying to coordinate a crowded department, while Doctor Griffiths is wading through a sea of patients. His next is 26-year-old Jordan who's hurt his hand while riding a motocross bike. If he has broken a bone, it could have a major effect on his livelihood.

In paediatrics is another casualty of a sunny weekend. Nine-year-old Harrison has come in with dad Nathan, after being badly sunburnt from a day at the beach. Advanced Nurse Practitioner Liam is on hand to look after him.

Sister Harriet is assisted by sisters Benita, Jane and Jo for the hottest day of the year so far, with both walk-in and ambulance patients queuing up rapidly. Paramedics blue-light in a 61-year-old, who's doubled over in pain, Dr Jake Mullen preps for his arrival. An ambulance brings in 90-year-old Hazel, who's fallen and may have damaged her hip and neck.

Sister Rachel is in charge of the hub, every patient should have an initial assessment, called a triage, within 15 minutes of arrival, but an influx of patients has meant the wait time is longer. A 67-year-old diabetic has dangerously high blood sugar levels, putting him at risk of a diabetic coma and five-year-old Seb is struggling to stay awake after a bump to his head.

There's a shortage of space on the specialist wards that admit casualty patients, meaning the department is at risk of complete gridlock. Brian's in terrible pain after a bad fall at work, so consultant Bharath Reddy comes in to assess the damage. An ambulance rushes in an elderly woman who has been vomiting blood, so Doctor Jake Mullen prepares resus for her arrival.

Physician Associate Adele oversees 97-year-old Jim's treatment, who has suspected multiple organ failure and an 83-year-old man suffering from severe abdominal pain is seen by junior Dr Josh Gemmill. In minor injuries, Anthony is rushed in by his partner Lisa, following an accident demolishing a bathroom, when a shard of porcelain sliced open his leg.

There's been an influx of patients overnight, creating a huge backlog in the department and there's another emergency on its way. A lorry has tipped over on its side in a country lane and the driver, Karl, is rushed in. An 82-year-old is rushed in after they were found collapsed at home and 28-year-old Kial and his partner Becky wait to be seen after he sliced his fingertips preparing lunch.

On a 'Manic Monday' at Barnsley Casualty, paramedics blue-light in a 66-year-old with a dangerously high heartrate. Doctor Jake Mullen heads to resus to prep for Howerd's arrival. Doctor Mullen has the charts from the paramedics, and it's not good reading. Elvin, 74, suffers from the opposite condition to Howerd, but it's just as dangerous. His heart is beating perilously slow, but he's been ignoring his symptoms until his daughter Jade found out.

Barnsley Hospital's casualty department is flooded as ambulances pour in at the start of the day shift. Sister Abbey must keep things moving quickly as patients arrive with a variety of urgent needs. John, a 78-yearold man, is suspected of having severe cellulitis and is also paralysed from the neck down. Stacey, 37, has a serious arm injury after being thrown from a horse. Toddler Esmae has a head wound, while electrician James faces possible fingertip amputation. And Doctor Jake Mullen treats former rugby player Jeremy's swollen knees, suspecting a joint infection.

On another busy day at Barnsley Casualty, Sister Jane faces staffing shortages after some nurses called in sick. Twenty-one-year-old Harry arrives, showing signs of sepsis from an infection. Doctor Alice Duffy and the team will need to act fast to find out where his infection is coming from. Delivery driver Ian waits for treatment after an eye injury. Young Isaac has had a stone stuck in his ear for three days. Doctor Alex Webster assesses 89-year-old Eric, who has a complex medical history and keeps collapsing. 

It's the night shift at Barnsley Casualty. Lucy, 12, has had a surprising attack - by her auntie's pet snake! And 87-year-old Colin keeps falling over at home.

Paramedics rush in 67-year-old Susan, after a recent fall has left her suffering with severe pains in her head. A 10-year-old with a dangerously fast heart rate is brought from paediatrics to resus. The red phone where all emergencies come through has stopped working. A temporary phone is set up, but the IT department are working hard to fix the problem.

Paramedics bring in a 78-year-old former miner who is suffering with chest pain, and a man who was recovering from surgery is now bleeding internally after a major artery ruptured. Also, an 82-year-old woman, who has a history of heart problems and is now suffering from chest pains, is vomiting blood. Over in the children's department, emergency nurse practitioner Tony tries to flush out any possible foreign bodies from an eight-year-old's ear.

Dr Taylor carries out some urgent tests on former cancer patient Ruth, who is suffering from extreme sickness and stomach pain. Seventy-one-year-old Terry is blue-lighted in with a suspected heart attack. In the paediatric department, sister Naomi sees 7-year-old Lilly-May, who has twisted ankle her ankle while playing musical bumps.

Sister Vicky has a busy shift ahead as a full resus sees 73-year-old Jim arrive, having been found unresponsive on his sofa, and 54-year-old Diane has a life-threatening allergic reaction; doctors must urgently reduce swelling in her tongue before her airway is blocked off. Four-year-old Rupert's arm injury requires urgent care in paediatrics.

Sister Rachel battles a packed resus as ambulances come streaming in with more patients. Fifty-four-year-old Lynne is rushed in with a suspected broken hip after a fall, paramedics take her to an ambulance bay where she's transferred for an urgent x-ray. Dr Mullen works his final shift, treating everything from infected ulcers to chemical ingestion.