Woman Learns She's Pregnant During Labour! | Casualty 24/7 - Season 5 Episode 20 (Full Episode)

On shift tonight, Sister Jane. Oh, yes. So, she's in labour. She didn't know she was pregnant. Volunteer Jane. Somebody has nicked his cutlery basket. All Texas. And emergency nurse practitioner Jo. That's your tendon there. You might have caught your tendon. So, get ready to share a shift... Thank you so much. You're welcome. Thank you again. ..with the team at Barnsley Casualty. Patients are flooding into Barnsley A&E and Sister Jane is up to her eyes. My department's the busiest department in the hospital. So, I'll just find out about this ENT one and then there's one for CDU. We're busier now than we've ever been. If there was a never-ending supply of trolleys and space, then it wouldn't be so bad, but it isn't like that. And right now, it feels like it needs to be because we are inundated with patients. Sister Jane's busy day is about to get a whole lot busier. SHE SCREAMS A 28-year-old woman who's coming with stomach ache is actually in labour and she had no idea she was pregnant. She's in cubicle 14. Is she? You're OK, sweetheart. Here you go. Nice, deep breaths. A lady's just come in with abdo pain and she's having a baby and is in labour. Breathe, sweetheart. You'll keep breathing. Hi, can you fast leave me the obstetrician registrar to A&E? Obstetrician to A&E straight away. The patient needs to get to a labour suite immediately or mum and baby could be in danger. Right, sweetheart, we're just going to move you, my darling. You keep blowing on that thing, all right? Keep blowing, darling. But labour is progressing fast, so they divert to resus. Keep blowing. Just go to Peds and ask if they've got an incubator for a newborn. So she's in labour. She didn't know she was pregnant. She's in cubicle 14 to start with, so I'll fast leave the obstetrician and she's just said that I don't think I've got time to get her up to the labour suite. With the baby about to be born, the obstetrics team comes to resus. It's just for them, it's just like being upstairs and using their own space, but they're in here. There's a foetal heartbeat anyway, they've just had a listen. You all right, darling? After examining her, the obstetrics team decide they do have time to rush the patient up to the labour suite to deliver the baby. While Sister Jane deals with one emergency, another has arrived by ambulance. 87-year-old Ken is in a bad way. Ken came in today because he'd fallen over and he'd bumped his head. I managed to fall down and bang. Student Dr Sabah Azizi treats Ken's head wound under the guidance of Dr Jonathan Hobbs. It's going to sting a little bit when I'm putting it in. We'll make the piece nice and numb, OK? You can hold my hand if you want to, OK? Squeeze, squeeze that. The first step is to numb Ken's forehead. This is the worst part. Mmm. OK, that is done. Worst part done. We're just going to wait for a couple of minutes, OK? Get set up and then we'll start stitching this up, OK? Yes. While student Dr Sabah begins stitching, Dr Hobbs keeps Ken distracted. What would you be doing if you weren't here, Ken? Watching sport on television. What sport are you watching today? Er, I like tennis. Oh, yeah? It's been good, hasn't it? Yes, it has been very good. All right. Can you feel this? No. A few butterfly stitches later... Well, those are all the stitches, then. Very good. Excellent. It's looking good. Well done. Look after yourself as well. Whenever you're in my will. Oh, Ken. See you later. Thank you. I hardly felt a thing. It was... She was... Right, well, she was in pain. High praise for student Dr Sabah. But Ken still needs treatment for the wound on his cheek. In casualty today, there's no space, no beds and no end to patients arriving in need of emergency care. One of them is 60-year-old Robert, a picture framer, who's cut his hand at work. Emergency nurse practitioner Jo takes charge of his care. I've cut it with an angle grinder. At work? Were you at work? Yes, yeah. Anything that's open with a wound, whether it's a break or it's not a break, or there's tendons exposed, you have to treat very carefully because it's going to affect the use of the hand. Good bit of first aid here by someone. Nurse Jo needs to examine the extent of the injury. Did you just slip with it, then? Cos there's, like, three little cups, isn't there? It grabbed and spun out of me. Did it? It caught me. Yeah. There's four. There's two closed. Two little ones there. Oh, yeah, there is four. Right, just pop your hand on here for me. Thank you. There's a lot of blood on that, isn't there? Yeah, look, there's one that's bleeding a lot there. That one might need stitching if it doesn't stop. Put your hand flat for me. I want you to lift this finger. And don't let me push it back down. Good. And just let it go down. And this one. That's good. And then your thumb. It looks like Robert's had a narrow escape. I've been lucky, look. You have been very lucky. But then Nurse Jo takes a closer look. Although, that's your tendon there. You might have caught your tendon. Can you see how it stops? So, there, I think you've got a partial rupture. Does it hurt here? A little bit. I think you've got a partial rupture of your tendon. If Robert has severed a tendon, it's a more serious matter. Tendons are the structures that are attached to your bones and they are what enable you to move your hand. So, it's really important to get them sorted out in a timely manner. I'm going to have to send you to Sheffield. Hand surgeons. Probably needs repair. As the cut is deeper than Nurse Jo first thought, she needs to rule out any fractures with an X-ray. This is just to keep it covered while you have your X-ray. I'll put a proper bandage on when you come back. Robert's a picture framer, so a severed tendon and a possible fractured finger could mean he'll be unable to work. In Barnesley Casualty, it's been quite a morning for Sister Jane and Dr Andrew Snell. Did you get her up there? Just. Really? A patient who arrived with tummy ache suddenly went into labour. You haven't had a baby when you were a child. You've got her into delivery. Quick thinking by the team saved the day. Thanks, Sister, for being on hand there. Oh, it's all right. I didn't do her what I would just like. We need to get her upstairs. We don't need any babies being delivered in this department this moment. It was a shock for everyone, not least the patient. Had she done any pregnancy tests? She did one about two months ago. She said it came back negative, but, you know, things don't go unavailable. The thing she said to me when I told her she was in labour was that she started crying and said that she didn't have Expecting the unexpected is par for the course in casualty. It's part of the job that Sister Vicky relishes. Within a split second, a lovely shift can just turn to chaos. From a baby being born in the department to a cardiac arrest, no day, no hour is the same. I love the fact that every minute is different. It's just as well as she's had her own fair share of drama today. Sister Vicky was assessing Alan, who arrived with a pain in his arm when things took a dramatic turn. I shouted Alan in, in the assessment hub. He came in, I sat him down, just did his blood pressure, well, started to do his blood pressure, became unresponsive. Shouted him a few times, still unresponsive. Checked his pulse, no pulse. Alan's heart had stopped beating. Sister Vicky had to save his life. We lost Alan's output for about 15, 20 seconds. Started CPR and then helped him and then obviously came round within a few seconds and we fetched him into resus. So you know what's happened, so you know that you... I lost my arm. Well, you didn't breathe for a while. That's what happened when... And we couldn't feel the pulse for a little bit, so your chest might feel a little bit tight because I had to do some CPR for a few seconds, OK? Yeah. Erm, so I apologise if your chest feels a bit... I'm OK. I'm OK. I'm still here. He's still here. Alan is still here, but with only the haziest recollection of what happened. I walked in and I can remember sitting down and everything was going dizzy. And then without worrying... Got to go back into assessment hub now, OK? Yeah, yeah. But you're safe, Alan, I promise you. All right. Thank you. So be good. Thank you. All right, love, you take care. Alan has a history of heart trouble and staff need to keep him under close observation. Good job they have these places. HE CHUCKLES Nurse Georgia takes over his care. Do you have any pain at the minute? No. Are you looking after anybody at all? My mother, she's 87 years old. Is she all right at the minute? Perfect. We're just waiting on your blood test coming back and then we'll have a look on where we're going and what we're doing. Alan breaks the news to his elderly mum. I've collapsed again, I'm in hospital. I collapsed, my heart stopped again, like it did years since. So... So, what, is that a keeping you? I don't know yet. I don't know. So I'll let you know later on, right? Because it's happened before, Alan's at greater risk of heart failure again. He and his mum face an anxious wait for his test results. Picture framer Robert's wait for his X-ray results is over and it's not good news. You've got a little break as well. Can you see that there? So one of the cuts is there, it's just kind of grazed the bone. It's like just kind of scratched the cortex of that bone, so it should be nice and smooth like that. It's like as though, you know, if you've got your angle grinder on this table and it might just cut a chunk out of it, it's kind of just done that at the very edge of it. But Nurse Jo has a plan of action. So I've already spoken to Sheffield whilst you were in X-ray. So they're going to see you tomorrow at 10 o'clock over there. So today we're going to give you a tetanus, some antibiotics, put a dressing on it. Robert's wife, Diane, has arrived to hear the prognosis. So, yeah, I was saying to him, I thought he'd been lucky, but he hadn't really been that lucky, has he? He's caught his tendon on his arm. So, yeah, this one that's bleeding. It's swollen up a bit as well, hasn't it? Yeah, I'll just pop it on here again and get a dressing pack. Diane isn't squeamish. She used to be a nurse herself. Do you want to look at his tendon? The thing that I'm a little bit worried about. So this lovely shiny bit there, that's the tendon, the extensor tendon, and then, can you see? And then it starts again there, so it's cut through it. That one looks quite deep as well, but... That's fleshy, isn't it? Yeah. It's swollen, isn't it? It is. I think that's just a collection of blood underneath it, like a little haematoma. It has swollen visibly, hasn't it, from before? Right, so all I need to do now is finish writing your notes and then you can leave for today. OK. All right. Robert had surgery at Sheffield a few days later. See you. Thank you. His tendon was stitched and healed well. He's now back at work. In the hub, Sister Jane is battling a growing number of patients and a diminishing amount of space. I'm just going to get you down now quite rapidly. She's trying her best to get some movement in the department to free up some cubicles. So, when they pull a bed, I'm trying to get patients up to the wards just so that it gives us some space in the department. But amid the mayhem, she gets a call from maternity. That lady had a little boy. Eight-pound little boy. Jane shares the news with Dr Andrew Snell. Called it Andrew. Brilliant. Eight pounds and well, yeah. Forceps delivery, isn't it? Sheffield, isn't it? So, her husband or partner is going to have to go and buy one, isn't he? Same-day delivery. In cubicle 10... Hello. Hello, love. How are you? I'm all right, thank you. Right. Can I have a little look at the other cut that you've got on your head? Ken's had stitches in his forehead after falling at home. Now Sister Dame has arrived to treat the wound on his cheek. Let's give you a good clean-up and then, if I can glue it, I'll glue it. Right. And if not, we might have to put a couple of little paper stitches on, if that's OK with you. OK, yeah. You look like you've been on a horror film. I'm not prodding and poking your bits that are open, I'm just cleaning your face first. Yeah, right. Make you look as if somebody loves you. What have you put your face on? The floor. Oh, dear. You'll have to get some cushions and tape them round your head. I know. Next come some paper stitches. Like a little flappy bit. There you go. Much better. Ideally, I would rather it not have a plaster on, cos it'll heal up better. But I'll put you a plaster on, just so that you can put your glasses on without knocking it. But when it starts to peel off, you can take it off. Right. There you go. You should be able to get your specs on now without knocking it. That's it. Ken didn't feel a thing. It's the best anaesthetic I've ever had. And was home in time for the end of the tennis. In minors, it's been non-stop for emergency nurse practitioner Jo. Hand injuries, some serious, some less so, are the order of the day. We do have some patients who come in and say, oh, my finger's hanging off, and they might have nothing more than a paper cut, but they've seen blood. Men particularly can go pale very quickly. And, yeah, faint. I've not had many women. I think women are braver. Michael? Yes, me. Michael had a mishap, as he was making some pudding. Hello. Hello. How are you? I'm all right. Have a seat on this chair for me. You've cut your finger today, yeah? Just tell me how you did that. I was opening a can of rice. A can of rice? I didn't even know you could get rice in a can, me. Well, whatever you want to call it. That's pudding. Oh, right. OK, yeah, I'm with you. And I cut the corner of the lid. All right. And it ripped my finger. So you just pop your hand on here. Do you want to just unravel it out of your thing for me so I can have a look and see what we need to do? I'll just do a few checks for you. Can you straighten your finger for me? No, that... It doesn't normally straighten. No, that was broken years ago. Was it? I don't think it's too bad. I don't think it's too deep. Right, so I'll just get some things together and I think I'm going to be able to just put some terry strips on that. Is that better? Were you worrying about that? Yeah, I don't like stitches. No, I don't think many people do, do they? No. Did you have your rice pudding? No, I didn't. You've not had it? It put you off when you saw the blood? I won't buy that can again. You need a new tin opener? No, I need more than that. It is a common injury, cutting yourself on a can, but I've never heard it of a rice pudding tin before. You know, the corned beef cans, they were deadly, weren't they? Oh, yeah. Time for a clean-up. So not as bad as you thought, eh? Yeah, I think they do. They bleed a lot, don't they? And a chit-chat. I am? Yeah. Are you? Are you from Barnsley? You've got an accent somewhere? Oh, yeah. One of the main perks of the job is the interaction with patients, because you talk to lots of different people from lots of different backgrounds. What brings you to Barnsley? It's a long story, Jordan. You're not going to bore me with it? Can you summarise it? I met someone, but it didn't work out. Not having much luck with love? No. That's what I enjoy most about this job. I always say that sometimes it's like not going to work and coming to socialise. So, this one, I need you to keep it on for two days minimum, OK? Try not to take it off till Sunday, Monday preferably. Right. Because this dressing will help to keep your fingers straight and hold the thing in place. All right, OK. And it should be nice and healed then. Oh, you're a star. I know what you want next time. Will you take a drink, Jordan? Oh, no, never take a drop, me. No, no, not a half, no. Only by the bottle. It's OK. Michael's fingers all patched up. You're all OK. I'm all OK. And in and out in a flash. Jordan, thanks ever so much. OK. All right, you take care then. Bye. But his romantic quest continues. I wish I could have helped him out there, but there's a limit to what I can do in my role. It's one out, one in today at Barnsley Casualty. And next to arrive with paramedics is 78-year-old Vilma. Right, well, we're going to do a roll. If you all do OK, you'll be as gentle as possible. Are you ready? Vilma lost her balance and fell while getting dressed this morning. Ow! Paramedics suspect a broken wrist. She's able to wiggle her fingers, but she says the pain from that hematoma sort of sent her shooting pains up her arm. In charge of Vilma's care today is registrar Dr Helen Mercer. It hasn't lost me balance. I've put my arm out, but I hit floor just as I got to bed. So you landed frontally on this arm? Yeah. And did you land on your bottom? Yes, but twisted. OK. What I need to do is have a quick look at this wrist. Any pain at your elbow? Yeah. Is it sore at your elbow or is it sore down here? Down here. Can you spread your fingers out for me? Keep them there. Don't let me push them in. Lovely. Well done. Now, then, can you try and lift this leg up for me? Vilma's hip is also painful. She had it replaced ten years ago. Is that OK or is that sore? Right, so let me take the weight of it and I'll lower it down slowly. Don't help me. That's it. Well done. We will have a think about the best plan of action for that wrist and I'll come back and tell you what the plan is. Dr Mercer sends Vilma for an urgent X-ray. She's fragile and in pain. There's not a moment to spare. So we'll start with wrists. First her wrist, then her hip. If the X-ray reveals a fractured hip, there's a danger Vilma might not be able to walk again. Today, it's a gruelling shift at Barnsley Casualty. Yeah, because it's just... I'm just too tired. But staff are determined to do a good job. There's one in the waiting room, one in 56 Sweetheart. Are you all right for them two? Hospital Chief Executive Richard Jenkins wants the team to know their hard work is appreciated. He's on his way to A&E with a special award. The team is busy, so consultant Dr Dave Walker takes a minute to accept it on their behalf. Just come to give you, on behalf of all your colleagues, this month's February's Publicly Brilliant Award. A patient who was treated in casualty has written in to praise and thank the team for the care they received. Thank you, and thank you on behalf of all the Trust for what you've done. Thank you very much. It's always great to get recognition for the department. When we know we've done good work, it's a difficult time, so getting good feedback from patients is reassuring. In resus, there's another appreciated patient. Shows how good they are in here, though. 66-year-old Alan collapsed when his heart stopped beating. Sister Vicky performed life-saving CPR. They are brilliant, these nurses. They just help you. They're just helping you all the time. Whilst he's grateful, he's desperate to get home to his elderly mum. I only come in because my arm aches. They take my bloods, and if they're OK, I can go home. That's what I want. I hate hospitals, but they're good. But I hate them. Nurse Claire has the results of Alan's blood test. The test has come back, and it's OK. I've spoken to the consultant, and because of what's happened and the event and everything, we just want to keep you overnight just to make sure everything's OK. Is that all right with you? Yeah. So we'll just wait for that bed upstairs. It's not the news Alan was hoping for. Ah, well, how do you feel? Probably best with what's happened. You just don't know, do you? They're experts, not me. Just to make sure nothing changes overnight. Ah, well. Alan spent a night on the acute medical unit, but tests failed to reveal why his heart stopped beating. He was allowed home, but receives regular check-ups. There's one person guaranteed to put a smile on everyone's face in casualty. Volunteer Jane. I don't think there's any one secret to being a good volunteer. Laughter is very important, and I think it's a good medicine for 12. But today, Jane's not laughing. Now, listen, I want a nationwide, a nationwide appeal, send it out. Right? Nationwide. Somebody, somebody has nicked his cutlery basket. There were two cutlery baskets in here, and somebody's pinched them. Who takes them? What are they for? What use are they to anybody? Jane launches an immediate investigation. But what about, what about kids' area? Do you think it'd be that type of... Do you think they'd nick it in kids' area? I'll go and have a look. I'll go and have a snoop. She's determined to leave no stone unturned. No, they've only got one, so it's not them. Well, I don't, but we'll go into the staff room and see if they've got it. Sorry, darling, I'm just going to have a quick snoop. I'm looking for someone. We're looking. I'm just looking to see if my cutlery thing is in here. No, that's yours. Sorry? It'll be on eBay. It'll be on eBay? I'll tell you what, it might be it. Jane decides to raise the stakes. Can't miss it. I'm on a mission. Right, so I'm going to offer a fiver, I think. £5 or £10 for a safe return. See how fast it comes now. In paediatrics, 10-year-old Caelan's been brought in by mum Aisha. Nurse Ellie is in charge of his care. Lovely. And what's brought you here today? What's happened this week? He can't open his mouth very good. He's hurt his jaw. He's been riding his pushbike with his jumper over handlebars. It's got caught in front of the wheel and it's took him straight over handlebars. Oh, bless you. So you've had it over and then you've tumbled. A lady that was there said that he hit his jaw with quite some force on pavement. Caelan doesn't seem concussed, but his chin needs a closer look. It's just a matter of waiting for a doctor. They'll do an assessment of his jaw. They may have to go for a facial X-ray because, obviously, he's in that area. He might have done something to his jawline. Is that all right? Awesome stuff. Thank you very much. Have a quick look at this arm, darling. Is that all right? 79-year-old Vilma has hurt her wrist and pelvis in a fall at home. Dr Mercer is examining her X-ray. There's good news and bad. It doesn't look as though you've got any fractures in your hips or your pelvis, which is good. You have fractured your wrist, though, so we need to work out what we're going to do about that. So, given that this is where your fracture is in your wrist, the bones where you fractured them, there's a little bit of displacement there, so they're not neatly in line. I'm going to go and have another look at your X-ray and have a little bit of a think as to whether we need to do anything to get them into a better position or whether we just put a pot on and let the bones heal. Do you give pain? Absolutely. Yeah, absolutely. Dr Mercer wants to avoid manipulating Vilma's wrist if at all possible. She asks consultant Dr Dave Walker what he thinks. It looks like there's a little bit of displacement, but not a significant one. Thank you very much. It's good news for Vilma. I've had a chat today with the consultant and he's had a look at this X-ray and he thinks that there's not actually a significant amount of displacement there. So, we'll put this pot on, this arm, one of the nursing staff will come and do that. We don't need to do any pulling or moving about of that fracture. We just need to put the pot on to support it. All right? Vilma spent a month on the acute medical unit as no space could be found in her local rehab facility. Her wrist has now healed and she's waiting for a physio appointment. Just relax your arm for me. That's it. There you go. Volunteer Jane's cutlery tray is still missing. Any drinks? Are we all right for drinks of water? But with so many patients waiting in the department, she's back on tea-making duty. Do you want a cuppa? Or a cold water? I don't like that. It is quite important to try and keep a patient's spirit up, especially when they're not feeling so well and especially when they're on their own. A cup of tea, please. No sugar. A cup of tea, no sugar coming up, darling. The thing that will always be guaranteed to put a smile on people's faces is a cup of tea. How's that, dear? Get a bit of colour about your tea and then stick a bit of milk in it, and then if you want to put a bit more in, you can do. We do have some nice people in here that comes into Barnsley. In fact, somebody actually said when I were on holiday the other week with my mother, they did say, oh, Barnsley is a lovely hospital, I'd love to go there. Well, I don't think that's quite how it works, but anyway. Caelan. In paediatrics, 10-year-old Caelan's had an accident on his bike. He went head first over the handlebars, giving his mum a scare and his chin a crack. He's had the wound cleaned. Now paediatric nurse practitioner Angeline needs to examine him. OK, let's have a little look at your jaw, just pop your head back for me. And whereabouts is it hurting? Can you open your mouth really wide for me? As if it was trying to bite a big apple. Yeah, is that as far as you can open it? Yeah. There we go. I think we need a little bit of gauze. It's just started bleeding. Just give me a second. There you go. You can just put some gloves on. I'll just take that off you, sweetheart, and we'll just have a look. OK, so I think what we need to do with that is just put some glue on it and stick you back together. A little cut that he's got on his chin. We do need to close it. I'll get one of the nurses to come in and sort that out for you. Brilliant. Thank you. Mum gets a quick memento of the wound before Nurse Ellie comes to close it for good. All right, buddy? OK? Put it back together, all right? What are you planning on doing today, then? Put it back together. Oh, yeah, I think you deserve that. And they'll keep up resting him. My main concern with Cale, and he wasn't wearing a helmet when he'd come off his bike, we have a lot of children that don't wear helmets, and they just think, oh, he's not important, and that's generally where the accidents happen. So I think it was quite reassuring that it was just to his jaw rather than to his head. Pop your head back to the ceiling for me. Good lad. So your chin, you need to try and keep that area nice and dry, OK? Pop this glue on. All patched up, Caelan heads home for his well-deserved burger. Thank you very much. You're welcome. Take care. Bye, you too. Next to arrive by ambulance is 56-year-old trucker Dave. Some passers-by have seen it tip over, and they've climbed in and managed to help him get out. Dave turned over his 44-ton lorry on a roundabout just outside Barnsley. Oh, my God. Sister Harriet wants to understand exactly what's happened. Hiya, Dave. Hiya. What's happened today? I drove the lorry, and it ended up on its side. I keep getting a bit upset because it went over, and I can't see. Is it the last seconds of your life? Because you don't know if you're going to be able to see. Honestly, it was so slow. Dave was delivering paper to a local firm. After a five-hour drive, he was just 10 miles from his destination. Is it David? Yeah. Hello, my love. My name's Chantelle. I'm one of the A&E clinicians up here. Clinical practitioner Chantelle arrives to examine him. You've got pain? Yeah, only when I move forward or backwards, I will forget. When I was on the stretcher coming into the ward, every little bump. You could feel it. Right, let's see if you are okay. Yeah. Okay. Keep your head still and just follow it with your eyes. Perfect. Feel that. There's no numbness or anything on your face. Can you feel that? Yeah. Breathe out. Breathe in. When you've got over this, you'll have a good story to tell in a few years' time. Any pain? No. Are you warm? You all right? Yeah. Let me just see what painkillers you've had. There's no obvious signs of serious injury, but clinical practitioner Chantelle needs to be certain. All right, I might just get a chest x-ray just to make sure it's a little bit quiet at that base, just to make sure there's no blood or anything like that. Okay. Probably more psychological trauma that you've incurred from this. This is lifeguards. Literally, you never put on your lifeguards before, and it does. You want to keep your elbows in. The x-ray will show if Dave's off the road or if he can keep on trucking. Barnsley casualty is under pressure, and today, Sister Jane is in charge. There's just no beds, and a massive doctor waiting, loads of patients coming in. The hub's sweetie drawer is the only thing keeping her going. Let me have a sweet first. Every day, there is a mountain to climb, and it just seems like sometimes you never get to the top of that mountain. Suddenly, the emergency alarm goes off. A fitting patient has collapsed in the middle of the hub, and he's lying on the floor. Dr Alex Webster rushes to treat him. A gent looked like he was having a seizure. So, basically, emergency buzzer called, so it's basically first on the scene and see what we can do to help him. Hello, mate. Hello. You're okay? You're okay. You're in hospital. You're just waking up. Priority, make sure that his airway is clear, make sure that there's nothing obstructing that, make sure that the chap can breathe, and then, basically, see if he comes out of the seizure on his own. The patient is taken to Rhesus, where the team can monitor him closely. When there's a real medical emergency, everyone just sort of mucks in, and things just happen automatically. You don't actually have to think about things. I think people are passing you stuff. So, yeah, the team comes together really quite well. This is what we're here to do. We're here to help people. In cubicle 7, lorry driver Dave's had a lucky escape. I've been here since, I don't know, half nine now, and I'm just waiting. After 26 years of trouble-free trucking, earlier today, he overturned his 44-ton lorry on a nearby roundabout. I've just got a bit of a tender spot on my right side, Dave's come into terms with his near-miss, and the accident has made him a local celebrity. It's on social media. It's on the news. That's the thing when we see patients when they've said they've had a big accident. You can't quite put into context what the situation is until you see a lorry on its side. The results of his X-ray are back. It appears Dave's in better shape than his lorry. Everything's intact, and there's nothing that's there that shouldn't be there. Clinical practitioner Chantelle delivers the good news. Hello, I'm back. So, you're a lucky man. Your chest is fine. There's no injury or damage, OK. There's no blood or anything like that. So, this is a bit of an advice sheet. It's for chest injury. A few painkillers, and Barnes' latest social media star will be back on his feet. So, I've seen your lorry. I think they've moved it up now and moved it on. It cost about £8,000 to cover it. Did it? But I think roads were closed for a long time, so... Anyway, you've made an impact this morning. OK. I'm glad you're well, though. Dave's had a narrow escape. And he was back behind the wheel three weeks later. In the hub, Sister Jane's shift is drawing to a close. There's been births, near deaths and everything in between. But the team's got through it. This team at Barnsley Hospital is one of the best. So, yeah, to work with them makes you incredibly proud. Before leaving, Jane gets a call. She's had a visitor in reception. Tracey's father, Ray, died in hospital two months ago. She's come to thank Jane and the team for looking after him in his final hours. Thank you so much. The staff will love him. He died the day after. But you were brilliant, absolutely brilliant, honestly. I can't fault you, none of us can. There's a card as well in for you. Let's have a look at the card. There's every kind of sweetie for me. I know, they'll love it. We're in there at the minute. You keep going to the sweetie drawer and there's nothing in it. Thank you very much. On the 2nd of March, my husband, Raymond, went unnoticed and you made an extremely difficult time, for all that you do. And all that you do. You're welcome. Thank you again. On behalf of us all. It's what we do. I know, but... We just like to do it with a bit of compassion and empathy. It's still sad, but thank you so much. You're welcome. That's lovely of you. And thank you, Mum, and your family. Is she? She won't come in. Won't she? Why won't she come in? It's too upsetting. Tracey's mum, Jean, is in the car park. Jane goes out to thank her personally. It's very thoughtful of you. At a time when it's difficult... It's just awful that... I know, it's just awful that you've had to come here under such awful circumstances to see us and then you think about us at the end. Thank you. I am so sorry about your loss. You're welcome. You'll be all right, yeah? Yeah. You've got a good daughter? Yeah, I've got two. Good, OK. You look after yourself. You will. And thank you so much again. You will. Thank you. Bye, sweetheart. Quite emotional at the minute, really. It's always difficult, isn't it, when somebody's... When somebody's lost somebody and then they come here and bring you that and they're obviously still grieving. But we take the time out to think about you as a person. And I know how she feels. I know what it's like to lose a dad. They're the worst circumstances, unfortunately, but that's why we do the job at the end of the day. Not for the sweets that come from it, but to see people that are so grateful for everything that you try. That's all we can do. And at the end of the day, sometimes we win and sometimes we lose, but that's what it is about. One thing's for sure. Jane and the entire team will never stop giving their all for the patients of Barnsley Casualty.