"Big Boys Don't Cry" is the 62nd episode of Casualty and the 10th episode of the 5th series. It was preceded by "A Will to Die" and followed by "Remembrance". The episode was directed by Jenny Killick and written by Ginnie Hole.
Josh and Lily are faced with a life threatening situation when they answer a call to an isolated house and are confronted by an axe-man. Inside, they find his elderly father dead but they have to box clever to get out alive. They convince the son that they have to get the patient to hospital but as they drive off, the madman tries to stop them. He later turns up at A&E with his axe and smashes the windows in the entrance and then drives off. He's later arrested by the police and brought into A&E for treatment. Megan gets a visit from Tony's wife Eileen, and finds out he's been lying to her. When a young couple bring their young baby daughter in and she's found to have a broken leg and other old injuries, suspicion falls on the mother but Dr Beth Ramanee has other ideas. She clashes with consultant Julian Chapman and the paediatrician Esther Macauley. When Tony Walker arrives, he too, clashes with Esther and later persuades Beth to get a second opinion.