Casualty 24/7

A patient is rushed into hospital suffering from serious burns, and he needs to be doused with water to try and stop the burns spreading further on his body. Meanwhile, a 74-year-old woman needs an emergency procedure after having a fall at home, and a nine-year-old girl has an X-Ray on her hand to check for any signs of a break.

The waiting room in Barnsley Casualty is overflowing today: Resus is crowded and there are no spare beds in the hospital. Sister Jane, who's running the hub, will have to juggle patients to make room for new emergencies.

Fifty-two-year-old warehouse worker Wojcieches is rushed in by ambulance after suffering an epileptic seizure at work. In Resus, staff nurse Amy takes charge of his care, but Wojcieches drifts in and out of consciousness. Too little recovery time between seizures could lead to permanent brain damage.

Dr Chris Yeoman is urgently called over to Resus where 64-year-old Lynn has severe abdominal pains that he suspects are caused by a ruptured appendix. If confirmed, Lynn will need an emergency appendectomy.

In Paediatrics, Junior Doctor Josh Gemmill faces a different sort of challenge. Fifteen-year-old Thomas has a ring stuck on his injured finger that's threatening to cut off his blood supply. When the hospital cutting equipment isn't strong enough to remove the ring, Dr Gemmill has no choice but to call in the Fire Brigade.

And staff nurse Mimi plays a vital role today in reducing queues in the waiting room. She runs Triage caring for patients like 22-year-old Elliot who was attacked by a street gang just hours after being involved in a car accident.

It's mid-afternoon at Barnsley Casualty and the department is already gridlocked. Sister Jane urgently needs to move patients out of A&E, as more continue to arrive. To add to the pressure there's a shortage of porters, whose role is crucial when it comes to patient flow.

An 87-year-old, Ralph, who is struggling to breathe, is blue lighted in. Doctor Taylor prepares Resus with student Doctor Ewan. Ralph has come in with a complex set of health issues and Doctor Taylor needs to run a series of urgent blood tests, so that he can determine the cause of Ralph's critical condition.

Karina walks in with husband Darren after dislocating her shoulder for the fifth time. She's only just got over a dislocation in the same place after falling down a flight of stairs on holiday. Repeated dislocations could mean there's something seriously wrong, so Emergency Nurse Practitioner Darren needs to work quickly to try and relocate the joint.

Sallie, an 83-year-old, is rushed in after having a fall at home. Sallie's sent to cubicle 8 with her grandson's girlfriend Katie. She's recently had numerous falls, which could be the sign of a more serious underlying condition, so Doctor Amber Mitchell comes straight to assess her.

In Cubicle 7, Doctor Phil Taylor assesses Pui, who has back pain. He examines her to feel if there is any swelling of her kidneys. She's in agony and Doctor Taylor suspects she may have a kidney stone, so orders an urgent CT scan.

Over in Paediatrics, Nurse Ellie collects the next patient from reception. Harry has come with his mum Rebecca after an incident at nursery has left him with a large laceration inside his mouth.

A patient is rushed in after a suspected overdose, unconscious and with a slow heart rate, while on the flipside, a 58-year-old woman is blue lighted in with a dangerously fast heart rate. In the paediatric department, an 11-year-old comes in with his mother and brother after hurting his head at school.

The IT systems have failed, causing chaos, but Casualty still need to treat a motorcycle courier who's had a head-on collision, and a man with severe abdominal pains.

After being knocked off his motorbike on his way to work, 62-year-old Peter is brought and is taken straight into resus, where Dr Chris Yeoman takes the lead on his care. Peter's blood pressure is dangerously low and he's also badly damaged his ankle so he's taken for an urgent CT scan. In Paediatrics, an ambulance rushes in with five-year-old Ruby, who's suffered multiple epileptic seizures and has a high temperature.

It's a hectic start to the afternoon shift for Sister Benita, who's running the hub on her first week back from maternity leave. An ambulance arrives with 75-year-old Barbara, who was rushed in after collapsing in her garden, while Dr Josh Gemmill tends to 78-year-old former miner David, who has a large haematoma on his arm.

Amna, 24, fell face first after collapsing at work and paramedics are concerned about the extent of her head and spinal injuries, so she needs to be urgently assessed. Diabetic David, 53, woke up struggling to breathe with a severely swollen throat, but with his condition worsening he urgently needs to be moved to resus.

Paramedics bring in a woman who has an incurable lung disease known as COPD and is struggling to breathe. Eighty-year-old Michael has walked in after he fell running for a bus and banged his head and goes to the top of Dr Chris Yeoman's list.