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.

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.