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Holby Wiki - Casualty and Holby City
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This article covers a real-world subject which should not be taken as part of the Holby universe.







"Before a Fall" is the 614th episode of Casualty and the 24th episode of the 22nd series.

Synopsis[]

A young girl, Lily is at a soft play area with her overbearing mother, and father. Her mother criticises her dad for giving her sweets saying it will spoil her lunch.

Back in the ED, Abs explains that he has called off the work-to-rule strategy following the tragic deaths which occurred previously. A depressed and exhausted Ruth, takes caffeine tablets to get her through the shift.

Back in the soft play area a young boy with autism is shown to be struggling. Meanwhile a believed drunk man named David is stumbling around the play area despite not appearing to have a child with him. Lily falls from a slide at the play area after her mum forces her way in to get her. Her mother blames her father insisting that they shouldn't have gone there in the first place.

In the ED Jessica and Adam struggle to treat the boy with autism as he refuses to let them near him. Elsewhere Lily's parents argue about her mothers overbearing ways.

David from the play area is brought in after collapsing in the supermarket. Ruth insists that David is just drunk despite Kelsey explaining that he did not smell of alcohol.

Lily's parents confide in Tess and Abs explaining that Lily being born premature and being given little chance of survival had put a serious strain on their relationship. The two of them reconcile and promise to talk more.

In cubicles David has a fit and later dies. It is discovered that he was not drunk but was in fact suffering from a rare condition and a head injury. Ruth realises that David is the autistic boy's father and insists that she tell the boy about his dad. Ruth blames herself for his death having not checked on him. Despite the staff supporting Ruth, Ruth later describes David's death as the "last straw."

Later, Abs and Toby go to Ruth's dorm in halls to invite her for a drink over for her not to answer. They assume she is studying only to walk in and discover her hanged. The episode ends with the ED staff trying desperately to resuscitate Ruth whilst a devastated Toby looks on from outside.


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