Police bring in an abusive male under arrest who claims he has a racing heart, and two friends arrive in resus who have dislocated each other's shoulders during a friendly wrestle.

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.