A&E After Dark

Overnight in Rotherham's A+E always sees regular patients making an appearance. A man has been rushed in, escorted by police with a suspected overdose. Nurse Sophie and the team must race to treat and calm the patient before he begins his usual disruptive shenanigans.

Over in minors, 31-year-old Matthew's chin is in a bad shape after a terrible accident on his bike. His chin has an excruciating tear from the outside right through into his mouth. Fortunately Rotherham's 24/7 maxillary facial team is on hand to stitch Matthew's face back together. It's an emotional evening for him and his partner Sally as the trauma of the crash becomes too much for them both.

It's a busy night for Nurse Dani as 57-year-old Beverly was found unconscious in her home and brought into resus by ambulance. It's critical that the team intubate Beverly so she can breathe, but it's a delicate life-saving procedure that must be performed before her oxygen levels drop.

150 miles south in North Middlesex University Hospital, another cyclist has been hit by a car. Having just delivered a takeaway, this patient was taken out on his bike by an unknown driver. Dr Kefe is worried about multiple injuries with this mechanism of injury, and orders and array of x-rays.

As the ambulance service is overrun, 36-year-old Terry took a taxi to A+E after dislocating his knee while shopping. While it popped back on its own, the swelling is a concern and there is a danger of fractured bones or his knee being out of alignment.

In the Tunbridge Wells Children's A+E a young footballer has badly hurt his ankle. When Dr Martha sees the x-ray, she realises it's a particularly nasty break and this mini athlete will be looking at a painful manipulation and possible surgery.

A+E Departments are seeing alcohol abuse on the rise and in Rotherham an alcohol-dependent patient arrives at the rapid assessment unit after faceplanting onto concrete. The patient is agitated but Dr Alex's primary concern is spinal damage and brain injury. They transfer the patient to resus just in time to intercept a seizure. Time is critical but this patient's behaviour is getting in the way of a life-saving brain scan.

214 miles south in Tunbridge Wells, a rider has fallen off her horse while at a gallop. This is a serious trauma, and tingling down her right side means she needs thorough diagnostic tests. However, this patient has a crippling needle phobia which she must overcome to receive urgent care.

In the waiting room, 67-year-old Royce is concerned that a wound he sustained during a bathroom renovation has become infected. Doctor Chukwudi is worried about this smelly cut so inspects it for sepsis and infection.

In North Middlesex Hospital, Dr Jack is looking after a patient with a complex medical history. Frank called paramedics after waking in the night unable to breathe. With a history of pneumonia and previous heart surgery it's not looking good. Frank rapidly needs more oxygen in his blood, so the ITU team is called for more invasive treatment.

Over in Majors, patient Rico has damaged his hand at an arcade. Turns out Rico was too strong for the punching bag and Nurse Sheena is concerned about loss of sensation in his hand.

Back in Rotherham, a young man was getting dressed when he heard a pop in his shoulder. With a strong suspicion it's dislocated, and the x-ray to confirm it, this patient is in a world of pain. Putting it into place is even worse and his reaction to the pain medication is a shock.

A&E in London's North Middlesex University Hospital is heating up thanks to an aggressive male who claims he has been attacked. Language is a barrier but by a stroke of luck, Advanced Clinical Practitioner Albena translates. The patient is incoherent, threatening, and is a risk to others, so security stand close until his suspected psychosis can be managed.

In Rotherham, children's Nurse Kiera is pulling out all the stops for an 11-year-old girl who stepped on glass and sliced her foot open. As feet contain thousands of nerve endings, it isn't a fun evening for this poppet, made worse by the amount of blood continuing to pour out.

An ambulance crew has rushed 77-year-old Susan into Tunbridge Wells A&E with a dislocated knee. What was supposed to be a lovely dog walk has quickly turned into a painful procedure. It's vital Dr Paul uses gentle hands to work Susan's knee back into place and avoid further damage.

Back in London, a young man is waiting to have his hand seen to after punching a pub window. Eighteen-year-old Lenny is convinced his hand is broken and unfortunately Nurse Emmanuel agrees. Although he can't feel much now, when the alcohol wears off Lenny might painfully regret the evening's events.

Nurse Sophie is on triage in Rotherham tonight as pensioner Graham comes in with his son. His gums haven't stopped bleeding days after a tooth extraction. As Graham is on blood thinners this launches him into the high-risk category.

And an unresponsive patient comes into resus in London after being found unconscious on the pavement. As the patient can't respond to any questions, it's vital that the team proceed with the worst-case scenario in mind.