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The emergency department (ED) of Holby City Hospital is an accident and emergency department encompassing several resuscitation units, triage, cubicles, a walk-in centre and multiple executive conference rooms. The ED was built alongside the rest of the hospital in, or prior to, the early 1970s. It has been remodelled since its initial construction several times.

The department's clinical lead reports directly to the hospital's chief executive officer and is responsible for the ED and walk-in centre.

In 2018, a new trauma theatre was opened for the ED for patients needing emergency life-saving surgery.


Resuscitation units

A resuscitation unit or resus is an area where patients with severe or life-threatening injuries or conditions are treated. There are three resuscitation units in the emergency department. Resus one and two are situated behind reception; resus one houses four bays, whereas resus two — or paediatric resus — contains only one. A third resuscitation unit with two bays was created in 2017 and is located next to the westmost set of cubicles.


As of 2020, there are two sets of cubicles in the emergency department. The first set surrounds the admin area and is situated near the clinical lead's office. A second set was instituted in 2013 which repurposed the bays of the now-defunct Clinical Decisions Unit.


There was an explosion in 1993 (Series 7) which destroyed the entrance and the ground floor, resulting in a complete redesign and re-layout of the affected areas. In Series 14 the new resuscitation room was being built in the ED with it being first used in Episode 10 of the series. In 2002, a car crashed into the entrance and destroyed the exterior, which resulted in minor repairs. The next major renovation of the department came in December 2011 when a fire broke out, which resulted in the destruction of the majority of the building. (CAS: "Next of Kin - Part Two") It was officially opened around a month later following extensive building work and repairs. The remodelling encompassed new CT scanning rooms and a peace garden outside.

The ED was renovated over the Christmas period of 2013, but this primarily consisted of minor remodelling of the reception area. Resus was also moved with this refurbishment, as well as a new layout of various other areas being introduced. (CAS: "Between the Cracks") Towards the end of 2015, building work took place to replace the peace garden with a paved area. Since then, it's been used for small food and drink carts.

The ED as it appeared from 2014 until the helicopter crash in August 2016.

On the day of Charlie's 30th-anniversary celebrations, a helicopter crashed into the entrance of the building and destroyed part of reception as well as the exterior of the ED. The walk-in centre was under refurbishment and was also damaged in the crash. (CAS: "Too Old for This Shift") However, by March 2017, construction on the new entrance had been completed and was fully functional. (CAS: "The Good Samaritan")

Current layout

A map of the hospital, with the ED highlighted in red. The map of the ED is the floor plan used from January 2012 to December 2013 before the renovations for 2014.

The ED is located at the back of the hospital next to the fracture clinic and opposite the daycare unit. The entrance to the department is round the back, along with the ambulance bay. Upon entering the ED, the reception area is adjacent to the entrance; resus is located directly behind. Further into the department on the left are triage, Clinical Leads office, the staff room, the CT scanner and some cubicles. Adjacent to the clinical leads office is admin. Directly to the right after entering the ED are the toilets, coffee shop and relatives room. Also, in reception are the stairs leading to the first floor.

The ED as it appears on the map after the renovations in 2014.

On the first floor, the meeting rooms are located directly to the right. Going down the corridor, there is Ethan's office, the on-call room and the first-floor pharmacy. There's also a lift which connects to the ground floor and also an open floor giving a direct view of the corridor below.



Junior doctors


Healthcare assistants


Behind the scenes

It is based on the Bristol Royal Infirmary where the original script writers went to observe to garner ideas for Casualty in the 1980s. Although both shows are set in the same hospital, Casualty is primarily filmed in Cardiff, whilst Holby City is filmed in Hertfordshire at the BBC's Elstree Studios. The indoor shots for the first series of Casualty were filmed at BBC Television Centre in London. The exterior shots of the hospital used in Casualty were formerly filmed at the City of Bristol College.