Casualty 24/7 – Season 8 Episode 5

Casualty 24/7 – Season 8 Episode 5

The IT systems have failed, causing chaos, but Casualty keeps its doors open.

In the heart of Yorkshire hello men an unbeatable team and stop we’re going to lay you down hard at work 24 hours a day does it count as your daily exercise 7 days a week I can smell it now it’s a really bad burn saving lives

It might be that we need to put you to sleep in order to try and sort this out helping loved ones it’s a shock of that making the community they serve better we got you L you’re being such a good boy a Health Service treating anyone car door house door VOR big

VOR it’s quite impressive isn’t it and everyone oh you’re going to have a good black ey I you a team doing anything and everything for each other it’s just being mantled down here I will do it I’ll get to it we’re strong people in barsley you know this is Bary casualty 247 you’re

Absolutely all diamonds brilliant we’re fixed him fix on shift tonight consultant Dr Dave Walker all the it has gone down all the systems physician associate Adele amazing I didn’t think you was going to get them and Dr emelo xti give me a good so get ready to share a shift

Welcome to 1982 with the team at Barnsley casualty it’s not business as usual at barnesy casualty today these BS would not let’s fly into gy first it’s chaos so they Ser as apparently no power consultant Dr Joe Stone no it’s not yes and members of office management offer their services what’s broken everything

Is there there’s nothing Dr Walker comes to assess the situation yes none of the BDI is working [Applause] only we’ve had a bit of an IT disaster uh all the it has gone down all the systems because everything’s down we’re going to have to give you a r on

Reception they handwriting the notes with the patient details on them um all the electronic systems we use normally aren’t working It’s All Greek to me any idea what our weight is at the moment about 2 and a/ half hours 2 and a half hours give okay all our systems all our

Patient tracking systems all our blood ordering systems systems for ordering x-rays uh CTS you name it everything is down just painful there it makes everything so much hard work is it it just I’m standing is a sweetie drawer working the sweetie draw is broken first time I’m

Here time one computer in you need to bring something here Tracy don’t come here empty handed in start hello M how long you been 5 minutes okay the it systems might be down but the doors are still open paramedics are rushing in a patient 33-year-old motorbike Korean Marius has

Had a head-on collision hello Sister Kim meets the paramedics in the ambulance Bay he has been driving through a junction at about 25 30 m hour and a car’s turned to come across that Junction and he’s drove straight into front of it big Fall by Fall pickup so

Motor bike yes motor bike versus big pickup truck so injuries fractured wrist we suspect uh he’s got some left leg pain up top near his hip Dr Elenor Sim is taking charge of his care um remembers everything that’s happened he’s not lost any consciousness so was wearing a helmet had full helmet

Full Leathers boots we managed to get it all off without cutting it off you so um he’s had 10 migr of morphe he’s had a gr of paracetamol and had some enops okay we’re going to get um these blocks off someone’s going to hold your head nice and still going to get this

Ward out from underneath you and then we can have a little check and see whe there’s any sign of any injuries on your head any pain down your back okay ready steady roll well done so when I’m pressing here any pain at all down here and down here no no pain that’s

Fine just see if you can turn your head from side to side any pain in your neck when you’re doing that fantastic let’s have a little look at your um any pain around your hand here just yeah fine so what we’ll do we’ll get an x-ray of your fingers and your wrist

Pop them back on the at his fingers are they all yeah they’re all there it’s just his ring finger it’s all come away yeah some pain on your middle finger let me get some wet G and what about your little finger so it’s just your middle

And your ring finger yeah okay we’re all finished now all right so they’ll get you for your x-rays no problem at all and hope you get sorted and I will come check on you later before Marius gets taken for his X-rays hello auxiliary nurse Kerrie and nurse har Haron are

Here to administer pain relief I’m just going to give you Some it’s a pain this pain is tolerable or yes IM manageable right with his pain now under control Marius is taken down to Radiology if he has broken a bone he may not be able to go back to work for 3 months in the the it system is still down B

Le but the emergencies still keep coming we’re going cardia Advanced clinical practitioner Shantel comes to re us I can take it I’m free I’ll come and help you JMA when you’ve worked in a quite a long time and you’re quite experienced within emergency medicine got a swing just in

Case I’ve got to you flipping to a certain mode and you know what needs to be done and you become this team that works together divides roles for that shared purpose is to save save a patient Ready Steady move there we go so this is a 66y old

Female through at 10:25 this morning uh collapsed into a witness cardiac arrest after complaining of being unwell and blew at the lips she has had times 8 adrenaline and 2.5 L of S I believe the underlying cause of this arrest is an internal hemorrhage she’s been recently in Hospital for an

Internal bleeding it appears to be sort of gastric the other thing is that the patient has retained a very good etco2 throughout and until recently a very good waveform but still quite a slow paa I’m waiting for compression to get a p pa for Ry check post check please when

You get exposed to a cardiac situation you have to think uh clearly and rationally it’s a life or death situation you just get that old s away and then I’ll get a periperal canula in that in resource the team are fighting to save a woman’s life can anyone listen

Bilaterally for entry please anyone can anyone get for pulse please I can’t feel okay Contin when was your last so the last drilling was about 15 minutes ago okay so anyway W we’ve got you on timeing K or we do another check can we do another rhythm check

Please J I’ve got a bloger can I have them BLS thank you sir this lady has pretty much been down for almost an hour now there has been a a brief period of Rosal despite good CPR has now gone from the initial shockable to PA to

A6 we will wait for this gas result but my thoughts are that actually unfortunately this is now futile I think seeing someone knowing they’re going to die it does affect you I think we’d be wrong to say it doesn’t can we do another rhythm check please but to function in that cardiac

Situation you have there has to be some protective mechanism so you can think uh clearly and rationally I think what becomes easier for us to accept that death as a team and that’s something that’s discussed in a cardiac arrest is that if we’re all in agreement that’s a

Better situation than than surviving and being in a terrible state I’m afraid this attempt is going to be futi and I think we should stop I agree yeah are you happy for me to stop the compression CPR ceased at 1210 I think we all deal with death really

Differently and personally in AE and as traumatic and as upsetting as it is we still have a job and a duty to all the other patients in the department to keep everyone safe the team at barnesy casualty dealing with an IT nightmare today and they’re going back in time for

The solution ladies and gentlemen welcome to 1982 everything’s D not working and yeah so we’re back to Old School um writing on a whiteboard and the big enough them boxes Shantel you want me to make them biger those of us who’ve been doing for a while we we’ve used it but the digital

Natives they struggle a little with the idea of just writing things down on a piece of paper or on a white Bo oh no oh my God that’s why it w working you know what this is not the first time we’ve had this out oh God

Sake so uh instead of a computer we’ve now got a board uh and we’ this is a kind of map of the department so all the locations resource Majors waiting room we’ve mapped all that out and we just write the patient’s name in the Box can

You please do me a favor can you populate that accurately who is where put name yeah up until probably H certainly about 15 20 years ago this is how we used to run these one and bottom where’s resour resource yeah one of them fores while the team gets a

Grips with the new system earlier this morning morning motorcycle Courier Marius was involved in a serious head-on collision hello is it Marius yes are you all right he’s about to get his wrist and leg x-rayed to see what damage has been done my name is Matt this is Hammer

Okay going to do a couple of xrays all right we’re just going to start with your hips first yeah you just need to keep nice and still for us if you can okay we’ll have a look at your ex rounding Na and let you know it results all right

A worried Andrea marius’s wife is waiting in cubicle 4 she I was actually thr to take my module one test so I can get a proper motorcycle uh driver’s license I was on my way and I got hit right in front of the police station W I don’t know if it’s a sign or Marius say x-ray results have been assessed by

Orthopedics he’s got a fractured wrist and broken his middle and ring finger consultant SED KH comes to discuss the next steps so it position now is quite B okay it’s displaced the bone is not in alignment so we’ll use some gasam that we don’t have pain and then we’re going

To try and pull it a bit the longer marius’s wrist is left unaligned the greater the risk of nerve damage okay okay thank You after being put back in place I’m everything ready for you and plastered up and I didn’t C he’s feeling a lot Better marius’s right wrist was operated on he now has metal plates holding everything in place he hasn’t been able to work since but hopes to be back soon casualty’s it system might still be totally down but that isn’t stopping new emergencies coming in paramedics have arrived with 7-year-old Oscar after an accident at

School Sister Kate takes some details before speaking to Mom Kimberly and Dad Phil so just said that it’s s clashed into somebody else sort of wretched and then lost for about 10 seconds were quite concerned cuz like his lips have got gr GL May about just to check his

OBS we just pop in this one so if you just pop your bow up on there for me how are you feeling good does your head feel okay yeah can you pop your finger in there for me so Mom and Dad had to come out of work

Yeah Daddy said he was eat at half of his sandwich but then he had to come to get me so he’s had to leave half of his sandwich that’s scary don’t you get like me see sco coming upon your pH oh no it’s always you in it yeah you brother it’s always

You try and keep that arm nice and still and then last one I’m just going to look in your eyes if you look at My every okay it’s lovely right so if you go back through there for me and we’re still just waiting to see the doctor is that all right thank you the effects of a head injury can take a while to occur and can be devastating so

The team need to keep a close eye on Oscar back in the hub a plan is beginning to come together and sister Kelly has been nominated to run it when this is done before we’ve gone to lead nurse and said oh would you want me to see next and the lead nurses

Manag the coordination so we have to plan out the department on a white board um with the cubicles and the patients names and it can be quite time consuming and taxing and there has to be a lot of communication with one person in charge and overseeing everything because it can

Become an absolute sham and again dangerous does that make sense that your managing in the whole department because if there’s too many people then we don’t know as all doctors need to go to Kelly so like whoever’s next to be seen Kelly needs to manage the whole

Department what name your name and what time you xrays here yeah oh again old school it’s just old old school very old school the department coordinator Tracy takes on the task of adding which patient is where Yeah well yeah I’m not allowed to use placees pen because my

Writing is terrible apparently so I need a coffee I need a coffee well we’re not aware we’ve lost anybody but that’s cuz we’re not aware we’ lost anybody so have you been around the cubicles so the pod’s working the clock’s working Trac is working Trac is working your pens your pens working

Yeah as the te team makes sure they have a clear idea which patient is where in cubicle 9 59-year-old Andrew has been brought in by his little sister Allison with severe abdominal pains bre in enough triages sent him straight into majors and have called a surgical doctor to come and assess

Him um I’ve got abdominal pains and uh it started at the left and it went into the middle now it’s going across to the right and uh my sister used to be a nurse and she had a nagging doubt that it could have been um what did he say appendicitis

Andor gallbladder Andrew has spent his fair share of time in hospitals over the last 20 years I had an accident in the co mine uh I got crushed by a diesel locomotive as it came by the draft it it took my jacket which got caught on something and sort of Spun me around

Which crushed me up between the locomotive and the wall and I got five fractur in my velvis I broke on my fer and the crack on the skull you know but that stage he didn’t think I’d walk again luckily for Andrew he did make a full recovery are you no while he waits

For the doctor to see him nurse Reena arrives to give him something to ease the pain is all right yeah that’s fine so are you okay take this tablet now yes this is C they tast as nice as p as e tomor have you got any pain over here no fastest buzer if you need any head just press this B okay come I help you okay you want me to leave the side B okay can do yeah that’s yeah yeah I’ll

Try not to fall off I don’t want you to Fall all Andrew can do now is hope the pain eases while he waits for a specialist to see him in Bay 3 75-year-old Allan has been rushed into Reus with him his wife Judith he has severe breathing problems and suspected chronic laryngitis Dr Phil Taylor is in charge of his

Treatment hello there sir is it Alam hello there my name’s Phil I’m one of the doctors so what’s brought you in today then I came in by a taxi this morning because a forn night ago just St for I had the same bad breathing I couldn’t breathe so well

And you worked on me and brought that down and slide Co infection and then uh when I would reach home you advis me if he get comes back again all right and I was having a little look at your notes earlier and you got laryngitis isn’t it and you were in

About two weeks ago with covid and that’s kind of kicked it all off a bit that’s right yes all righty a bit frightening as well yeah I bet when you can’t breathe yeah yes and pra you having covid what was your breathing like normally was it this raspy no no no

No no know but I had difficulty at times okay you know with with the breathing all right but uh and then since you were discharged have you had any symptoms like productive cough oh yes yes and what color is it when it’s coming up dark creamy colored okay so what we’re

Going to do I had a look at your previous treatments that you had with the ear nose and throat doctors last time I’m going to give you that same set so some nebulize adrenaline some antibiotics and then the ENT doctors are going to come and see you in The Recess

Here now all righty I thank you Doctor yes have you got any questions no n quiet up thank you all right we’ll get you a treatment so we’ll get you feeling a bit better all right thank you Alan’s already had a chest x-ray which he’ll soon get the results for so

While he waits for the ear nose and throat doctor nurse Amy arrives with a nebulizer to try and stabilize his breathing all Ellen my love you’ve had adrenaline nebulis before aren’t you darling yes just tell me your fullone name on your date of birth 94 you cheated then you looked at

It I let you we’ve given Alan a nebulizer um because from the bedside I could hear that he was wheezing so what that means is some of his Airways are narrowed compared to normal and so you can give him medication called salbutamol which helps open up these Airways and hopefully should increase

The ease of his breathing you’re not allergic to anything I no not really fabulous do you want to pop that mask on you know how it goes don’t you nice and tight your faves we’ll just tighten it a little bit all right yeah perfect thank you fabulous with the narrowing of Allen’s

Airways less oxygen is likely to be flowing around his body going to pop your antibiotic in all right sweet yeah so it’s essential they want widen them before his oxygen levels become dangerously Low this morning Barnsley casualty’s entire it system has gone down so it’s a trusty whiteboard that’s saving the day they’re not putting what time they bed in I know I’ve told them they’re doing it now how do I know it’s just very basic everything just gets written down it does work it does

Work uh because we bring in extra people to help but it is it is more work for the staff it is it is a headache it really is that’s working at Le many nothing else I’ve just tried to log log in again it’s still not and things seem

To be going from bad to worse so we can’t view x-rays now either so we may have to go back to printing the old X way but although we don’t have the boxes anymore the light boxes that we used to hold them up to so as Dr

Walker and the team deal with their next big problem in cubicle 9 is 59-year-old Andrew who came in with sever abdominal pains registrar Dr gorav parwa and Dr Natalie Chan from the surgical Department arrived to see him hi Andrew I’m Goro I’m a surgical registra myleague Nutley here with me hi Hi how

Are you both apart from being in here all right so how did it start okay about 3:00 a.m. yesterday morning MH I woke up and it it was I said to Allison it’s the mother of all Tomy AES but it was on the left side there and there was a stabbing

Pain like on the under the ribs there okay and this morning it was in the middle behind the tumy button mhm and then as the day’s gone on it’s moved across to this side now okay and it’s it’s like too thi in here to me mhm but

If I change position or take a deep breath it’s a sharp stabbing pain okay have you had this pain before or is this the first time no this is the first time never before no along with this pain did you get any temperature any fever hot

And cold sweating well I didn’t think so but the doctor said the temperatures when I came in were high M okay and any nausea vomiting no no opening your balls fine yes yeah it’s a very very pale color almost beiging color you yeah yeah that’s very okay and urine is it dark

It’s a bit darker than normal yeah okay can I have a feel off your tummy yeah course can okay y all right now point with your one finger where the maximum pain was there okay I think it’s there yeah yeah all right anything on this side no nothing at all when I’m pressing

Anything here no a little bit there yeah oh I’m sorry for that yeah yeah maximum okay all right okay I saw your blood test yeah your Babin is high alkaline phosphor is high which is showing that there is some Block in the pathway of bile flow from Gall B to the

Bowel right and that’s exactly when you see this profile this picture of the tests yeah also on your blood test your white cell count is very high it’s 17 which should be the uh it should be between 4 to 10 yeah so is that good is it because

Body’s fighting it so it’s basically sign of infection and inflammation together okay uh I think there is some blockage the commonest reason is a stone when there is pain and there is deranged lfts that is liver profile tests we need to see if you got any stones in your

Gall B mostly you you might have and one of the stones might have slipped into the tract which connect your call B to the bowel yeah okay what we need to do is we need to keep you in okay because this is mostly we call it acute colangitis which is uh very delicate

Thing we need to manage with IV antibiotics IV fluids you can definitely eat and drink thank you oh perfect just take care what can I say to foret now yeah oh sorry I’ll just pull it up so you yeah thank you okay that’s better yeah thank you

Than with a firm diagnosis Andrew now needs to wait to be taken up to the surgical Ward and it seems like his sister Allison still has her nurse sensors yeah I got this one right yeah yeah yeah I could probably do the operation if I push him around to theater and I

Remember how to do it I could probably get his gold bladder out yeah I did misdiagnose my dad’s broken ankle though poor man so here we go Andrew made it home not long after and he’s waiting for his operation in the hub the it blackout has still not been fixed Dr Walker is

Getting more and more concerned problem is the longer it goes on the um cuz our attendances go up quite a lot in the middle of the day so we we need the system back on before our big numbers start arriving when you’ve got up to 100 patients or more in the department

They’re going to different departments they’re going to x-ray they’re going to CT some of them going to Wards so yes it it is really tricky to keep track of every single patient those a Time arrival but they time picked up yeah and we can’t lose someone that does matter vacuum

Pediatrics like a unicorn room physician associate ad Dell knows exactly where her next patient is 7-year-old Oscar is waiting to be seen after an accident at school left him unconscious hi Oscar where are your shoes oh fair enough I think we’ve all got a bit of hot feet in these in this

Weather haven’t we what socks have you gotten anything good oh Hulk n is it Hulk hul yeah nice I’ve already chosen my favorite one it’s the it’s the one with the unicorns so I think it’s pretty cool wow do you want to hop onto the couch then so Mom and

Dad can sit down hang on let me put the sheet on it first where is this place on the wall I want to S you want to go to it yeah it’s pretty cool so Oscar my name is Adele I’m one of The Physician Associates and who’s come with you m and daddy

Correct so I heard you bumped your ha yeah do you want to tell me what’s happened can you remember I put my head into my friend okay it’s because I was um I was going turning around and I didn’t know he was behind me so I walked

Forward and I BR my head with him okay so then what happened next then um I had a nose bleed and okay just nose were bleeding was it he went he said it went a bit foggy and I think the children had realized that it was a bit worse than

Just a bump like what they would normally get at school so they took him um the medical which kids can go to and the teacher at that point he like slumped down and he like like he passed out lost Consciousness and his Li went all blue and gray okay and he wasn’t

Actually sick he was like heaving to be sick he Dad’s dinner yeah yeah so I think he just shocked him and worked him up yeah when we got there from work you were you were out of it really his so you came in was that cool yeah yeah did it go very

Fast it sounded like it was really bumpy too bumpy okay and were you in PE doing this or you in the playground pe’s on Wednesday oh sorry sorry what was I thinking and where on your head were you bumped can you remember um I think it was here but I’m not sure

That’s okay as with any head injury a thorough exam ination is now needed right then should we do some funny moves can you let your arms go like jelly for me wubbly wobbly jelly yeah jelly jelly jelly jelly good stuff can you let your legs go like jelly super

Keep wobbling them excellent well done okay we’re going to do some funny movements now can you put your arms like a chicken for me like this I’m a chicken you’re a chicken don’t let me push you down stop stop stop stop stop good don’t let me push you up good can put your

Arms like a boxer don’t let let me pull you away good don’t let me push you in good keep your arms like you’re riding a motorbike don’t let me push you down good don’t let me push you up good splay your fingers out like that for me don’t

Let me squeeze them in fantastic give me a thumbs up don’t let me press them down good excellent well done push this leg up for me push push push push push push good well done let me give them a quick tickle find my pen are you have you got

Tickly feet have you that bit tickly yeah don’t let push your toes down oh don’t let me push them up you have got sweaty feet you’re right super stuff okay do you know your letters yeah right can you go like this for me with one eye that’s

It do you know what those ones are TP f p z amazing about that one l d e f c super okay these one going be super off e t l yeah o t amazing I didn’t think you was going to get them okay you’ve passed all my tests you’ve

Done amazing so from what I’ve assess mom and dad he looks excellent not got any concerns there um the reason why I was asking him so many questions is to make sure that he can remember everything that’s happened before and after which he seems to have done pretty well with

Actually there doesn’t seem to be any blood behind his ears back of his head looks okay um he might have had a bit of concussion from from what’s happened okay um I’m just going to have a check with my consultant just with the blue lips going blue/ gray H just a little

Bit more unusual all good yes yeah do you want to sticker yeah yeah all right I’ll going to get you a sticker best bit is giving the stickers I’ve got some good stickers which one do you want shine that look like you oh yeah with your glasses on yeah you want that one

You have been very brave there you go you say Oscar thank you you’re very welcome well done Oscar was given the all clear and allowed to get back to his friends at School 75-year-old Alan is still in recess with wife Judith he arrived this morning with severe breathing difficulties we want to live down the road and uh we just got rang to get a taxi to the hospital and with my breathing problem which was quite difficult I got special process right

Only to casualty do you want to pop that mask on you know how it goes don’t you yeah fabulous Dr Taylor’s put Allen on a Nebulizer with antibiotics to ease his symptoms to get he tense your arms look tense oh hello there speak the devil ear nose and throat Dr amelo gonti arrives

To assess Him are you me again Yes again good well we’re going to do exactly the same we the last time we going to have a look your vocal cord go down with the camera and see how it looks like okay yeah F in Allan’s case we know that he has

This condition chronic laryngitis so that is the most likely cause of his worsening symptoms however looking into the throat and into the nose will also look for other potential causes so he could have inhaled something that’s got stuck he could potentially have a have a growth that’s forming there and is

Blocking his Airway um so the camera will help roll the things out you already know how this goes it’s basically camera through the nose you’re going to have add your voice box again see how it looks see still there Again if you want me to stop you just tell me I’ll take this all out Immediately can I ask you to stick your tongue out for me give me a good lovely puff your cheeks out for me lovely that’s it relax again give me a good E coming out that would be All thank you very much for done sorry for the torture it’s looking much much better than it was compared to the last time I saw you not swollen vocal courts are moving fine and I can’t see any lesions there or anything obstructing the airway okay so we’re going to have a chat with

You with the medical doctors see what we go from there good if you need anything let us know we can come any time bye with his throat all clear that’s good news for Alan but until until the team find what’s causing his breathlessness he’s going nowhere 2 and a half hours

Yeah not to about deal Either all right in the hub the team are beginning to get the it crisis under control when did he book in fine so we got 2our waitting more or less going 19 but someone is going to be busy later on all the patients who have either attended or left during this period of

Time they’ll all have to over their files updated and got a picture I know on system because some of these will have been on when we went down when it comes back online the all the admin staff are going to spend the whole afternoon updating where you know where

People are where they should have been and and there’s a sense of hope we’re told that the power problem’s gone but we’re waiting for some of our systems to reset so we were told half an hour ago that they’d be up in half an hour so fingers

Crossed Dr Taylor is looking over 7 5-year-old Allan’s chest x-ray results after a nasal endoscopy gave the all clear on his throat will Dr Taylor be able to locate the problem in his lungs so this was his chest xra about two weeks ago and this is his chest ACC today uh here’s his

Heart and here’s his heart and looking at both lung Fields you can’t there’s no real focal changes nothing suggesting any big nasty pneumonia so to be honest this looks the same as it did about 2 weeks ago um but given the history it sounds like he’s got a bit of a chest

Inection anyway cuz he’s been coughing up a bit of Mucky spit but yeah his chest x-ray looks okay today Dr Taylor heads to Reus to tell Alan the news Alan just had a quick look at your chest x-ray when it looks absolutely fine yeah

We compared it to um to the one you had about 3 weeks ago it doesn’t look any different so I don’t think there’s any big horrible pneumonia or anything like that all righty yes with no signs of a serious problem the team feel confident Alan is suffering from a chest infection

A relief for wife of 33 years Judith it is really but I think he’s he better now feeling that’s he’s been attended to marvelous stuff brought to Gold very good everything 100% And Allan is all too familiar with the good care at barnesley hospital what was it he used to do as a

Job so we going up the service did you yeah 25 years wow did you enjoy it I certainly did I bet you saw some some funy stuff didn’t you well of those jobs you hard in them times in the 70s yeah you were one minute you was a

Doctor then you became a midwife then you be a marage guidance counselor you know You’ got to stepy all them jum that’s one thing I’ve not done I’ve not delivered a baby I’ve delivered for a year about six I think six babies wow be well grown up

Now hi what did you do myo um well originally a long long time ago I was a teacher what came after originally well we were both involved in local politics want me photograph on my mobile phone when she was the mayor were you really when was that in

Mid90s hey you’ve not changed a bit oh wow I couldn’t carry that around my neck I’d be fidgeting with it Alan will be monitored in recess till the team have a bed ready for him on another Ward keep your phone but I like to leave it C here cuz

I don’t want to car it on the that’s what CU I it open it in the drawers it’s nice co something you know no wardrobes Alan how are you feeling now a lot better thank you yeah good stuff does the breathing feel any easier at

All a lot B 80% good all right fantastic well all your numbers are still looking good so we’re really just waiting for a bed on the ward now uh you’ll be going up to the cute medical unit yeah yeah fine brilliant all right we’ll love you to meet you

Thank you all right take care yeah nice job Alan was moved to the acute medical unit to be monitored but unexpectedly suffered from further complications he was moved to intensive care where he was put into an induced coma for 4 days he’s currently still in hospital but is set to make a full

Recovery this is an improvement the computers appear to be stuttering back to Life how come you can get on d have you got priority yeah it’s special server special server for working IED it with yeah are you talking about a piece of paper roughly about 2 and 1 half 2 hour Dr to work but everybody that has been here thank you

So much for all work to me in my and I think we’ve done quite well keeping on to the Whiteboard is returned to its cupboard until it’s needed again the fact that we’ve managed to keep control of the department despite all the difficulties with the it systems that we

Rely on uh has been really really impressive of the team like most things in our job it fits just about all right I will be going home and having fish and chips uh with some uh some well I usually have prco my fish ships so that’s what I’ll be doing this

Evening as Dr Walker heads home for his reward barnesy casualties always ready 247 to welcome those in need of help and we’re back in Barnsley next Monday at 9: and if you or someone you know has been affected by what you’ve seen tonight organizations offering support can be found at Channel 5.com

Helplines sifting through the evidence to unravel a mystery the coroner establishes a cause of death new on Wednesday at 9:00 next tonight shoplifters stripping the Shelves