Changes: Episode 1142

Revision as of 21:11, 14 October 2019

Template:EpisodeBoxNewThe fourth episode of series 34 is the 1142nd episode of Casualty overall. It was directed by Fiona Walton and written by Johanne McAndrew and Elliot Hope.

This episode marked the return of Jane Hazlegrove as paramedic Kathleen "Dixie" Dixon for a two-episode guest stint to facilitate Michael Stevenson's departure from his role as Iain Dean. After over nine years on the show, Dixie made her last appearance on the show in January 2016 during the 30th series. Her return was announced in August 2019.

Plot

As Iain recounts his disastrous date the night prior to Ruby, he is taken aback when he receives an envelope containing an invitation from Sam to a charity skydive. Elsewhere in Holby, brothers Fred and Alfie Gatlin use wooden planks, pallets and concrete blocks to create a bicycle obstacle course. At the ED, Archie confronts Dylan about him "fobbing [her] off with sprained ankles and dislocated shoulders" after she is relegated to minors, and he allows her to treat patients in resus when she assures him that she is ready; Will is unamused when Dylan tasks him with keeping an eye on her. On the dirt track, as the brothers test out their course, Alfie brakes sharply, causing him to fall off his bike and land on a metal rod. Fred initially believes that he is feigning being injured, but he is mortified to discover the rod embedded in his chest.

At the ambulance station, Iain explains that Sam completed the skydive the previous year. Ruby asks him if he plans on accepting the challenge, and he says no. He then receives a shout from control pertaining to Alfie's incident. Meanwhile, a hooded man carrying a bag containing a bottle of clear liquid approaches a vintage car, but he is confronted by its owner Vincent Millbank. The man asks if he knows who he is, but Vincent is not interested and tries to call the police. The man attempts to wrestle the phone out of his hand and accidentally splashes Vincent's eyes with the liquid, causing him to shout in agony; he gives him his garden hose to rinse his eyes and quickly makes his escape. However, as he calls for an ambulance, he is hit by an oncoming car.

Iain and Ruby arrive at the scene of Alfie's accident, and they discover that Fred has removed the rod from his chest. Ruby assesses him as being peri-arrest and suggests calling for HEMS; Iain concurs. Outside the ED, Rash wheels his bike in as he discusses bin collection with his father over the phone. Mason compliments his bike and claims that he has been considering buying one to help "save the planet"; Rash asserts that he "wouldn't have had that up high on [his] list of priorities". Nearby, a whimpering Vincent drives into the hospital grounds and is found by Jade. He is reluctant to leave his car unattended, but Jade assures him that it will be moved and guides him into the department.

As the air ambulance lands, Alfie goes into PEA, and Iain attempts to resuscitate him. Chris Albright - a HEMS doctor - assesses his condition and is forced to resort to a clamshell thoracotomy. Iain is surprised to be greeted by Dixie - now a HEMS paramedic - who aids Chris in preparing Alfie for the procedure. Jade takes Vincent into resus 2, and Archie informs her that she could have put another patient at risk by bringing him through reception. Archie examines his condition and tests his eyes' pH level. Outside, Will suggests that Vincent may be the victim of an acid attack; she wryly asserts that he should be a doctor. Back at the scene of Alfie's accident, Chris attempts to suture, but his view is obscured by a haemorrhage. He advises that they compress the aorta, and Dixie recommends that Iain do it, given his military service in Afghanistan. Iain agrees and follows Chris' lead, and Alfie's heart starts to beat.

In cubicles, Rash assesses social butterfly Sharmella Wilson, a young woman who claims to be suffering from intermittent head pain and neck ache, as well as nausea. Mason bets £10 that she merely has a hangover; when Rash refuses to join in, he suggests that he bets his bike against his car. However, Rash insists that he does not gamble when it comes to his patients' health. In resus, as Vincent's eyes are irrigated, Archie asks him why someone would single him out as a target, but he is clueless. When he tries to swear vengeance against his attacker, she encourages him to remain calm and explains that he requires irrigation until both of his eyes have a neutral pH. Will enters and asks Archie if she has ordered an ophthalmology review and a tetanus, and she assures him that she has. In reception, Dixie and Chris transport Alfie to the lift for surgery. Meanwhile, Vincent's attacker - Seb Sanderson - is taken into resus and is horrified to see Vincent next door. Will decides to have him sent for an X-ray of his ankle; once he leaves, Seb scratches a burn he sustained to his wrist.

By reception, a shaken Fred insists on visiting his brother, and Iain promises to get an update on Alfie for him. Nearby, he shares a hug with Dixie, and she explains that she is temporarily seconded to Wyvern Air Ambulance Service until a replacement partner for Chris is found. Fred and Alfie's mother Tilly bursts into the department and castigates Fred for not taking proper care of his brother. Once Iain takes Fred to triage, Dixie apprises Tilly of Alfie's situation. In cubicles, Mason informs Rash that Sharmella's tests only show mild dehydration and hypotension. Outside, Mason suggests that he give her "an egg butty, some painkillers and call her a cab", but Rash opposes his "cavalier" attitude and posits that her symptoms could point to a potential thunderclap occipital headache - a red flag for a subarachnoid haemorrhage. Mason disagrees and, given Rash's unwavering stance, proposes that he reconsider their wager. Rash brands him as "unprofessional", but, with Mason and Jacob's encouragement, he acquiesces and agrees to the bet.

In resus, Archie notices the burn on Seb's arm, and he claims that it is a friction burn from when he landed on the road. Regardless, she applies litmus paper to it, and it confirms that it is acidic. Will confronts her about her treating his patient, and Archie criticises him for not spotting the burn and goes to call the police.

to be added

Cast

Michael Stevenson as Iain Dean
Genesis Lynea as Archie Hudson
Jack Nolan as Will Noble
Gabriella Leon as Jade Lovall
Neet Mohan as Rashid Masum
Victor Oshin as Mason Reede
William Beck as Dylan Keogh
Charles Venn as Jacob Masters
Maddy Hill as Ruby Spark
Di Botcher as Jan Jenning
Jane Hazlegrove as Kathleen "Dixie" Dixon
David Newman as Seb Sanderson
Tim Woodward as Vincent Millbank
Lisa Ellis as Tilly Gatlin
Darcy Isa as Sharmella Wilson
Tayler Marshall as Fred Gatlin
Nathan Sussex as Chris Albright
Lee Shepherd as Alfie Gatlin

Uncredited

Paul Anderson as Oscar

External links

Official episode page on the BBC website

Template:Series 34

@@ Line 32: / Line 32: @@
 As the air ambulance lands, Alfie goes into PEA, and Iain attempts to resuscitate him. [[Chris Albright]] - a HEMS doctor - assesses his condition and is forced to resort to a [[clamshell thoracotomy]]. Iain is surprised to be greeted by [[Kathleen "Dixie" Dixon|Dixie]] - now a HEMS paramedic - who aids Chris in preparing Alfie for the procedure. Jade takes Vincent into [[resus 2]], and Archie informs her that she could have put another patient at risk by bringing him through [[reception]]. Archie examines his condition and tests his eyes' pH level. Outside, Will suggests that Vincent may be the victim of an acid attack; she wryly asserts that he should be a doctor. Back at the scene of Alfie's accident, Chris attempts to suture, but his view is obscured by a haemorrhage. He advises that they compress the aorta, and Dixie recommends that Iain do it, given his military service in [[Afghanistan]]. Iain agrees and follows Chris' lead, and Alfie's heart starts to beat.
-In cubicles, Rash assesses social butterfly [[Sharmella Wilson]], a young woman who claims to be suffering from intermittent head pain and neck ache, as well as nausea. Mason bets £10 that she merely has a hangover; when Rash refuses to join in, he suggests that he bets his bike against his car. However, Rash insists that he does not gamble when it comes to his patients' health. In resus, as Vincent's eyes are irrigated, Archie asks him why someone would single him out as a target, but he is clueless. When he tries to swear vengeance against his attacker, she encourages him to remain calm and explains that he requires irrigation until both of his eyes have a neutral pH. Will enters and asks Archie if she has ordered an opthalmology review and a [[tetanus]], and she assures him that she has. In reception, Dixie and Chris transport Alfie to the lift for surgery. Meanwhile, Vincent's attacker - [[Seb Sanderson]] - is taken into resus and is horrified to see Vincent next door. Will decides to have him sent for an X-ray of his ankle; once he leaves, Seb scratches a burn he sustained to his wrist.
+In cubicles, Rash assesses social butterfly [[Sharmella Wilson]], a young woman who claims to be suffering from intermittent head pain and neck ache, as well as nausea. Mason bets £10 that she merely has a hangover; when Rash refuses to join in, he suggests that he bets his bike against his car. However, Rash insists that he does not gamble when it comes to his patients' health. In resus, as Vincent's eyes are irrigated, Archie asks him why someone would single him out as a target, but he is clueless. When he tries to swear vengeance against his attacker, she encourages him to remain calm and explains that he requires irrigation until both of his eyes have a neutral pH. Will enters and asks Archie if she has ordered an ophthalmology review and a [[tetanus]], and she assures him that she has. In reception, Dixie and Chris transport Alfie to the lift for surgery. Meanwhile, Vincent's attacker - [[Seb Sanderson]] - is taken into resus and is horrified to see Vincent next door. Will decides to have him sent for an X-ray of his ankle; once he leaves, Seb scratches a burn he sustained to his wrist.
+By reception, a shaken Fred insists on visiting his brother, and Iain promises to get an update on Alfie for him. Nearby, he shares a hug with Dixie, and she explains that she is temporarily seconded to [[Wyvern Air Ambulance Service]] until a replacement partner for Chris is found. Fred and Alfie's mother [[Tilly Gatlin|Tilly]] bursts into the department and castigates Fred for not taking proper care of his brother. Once Iain takes Fred to [[triage]], Dixie apprises Tilly of Alfie's situation. In cubicles, Mason informs Rash that Sharmella's tests only show mild dehydration and hypotension. Outside, Mason suggests that he give her "an egg butty, some painkillers and call her a cab", but Rash opposes his "cavalier" attitude and posits that her symptoms could point to a potential [[thunderclap occipital headache]] - a red flag for a [[subarachnoid haemorrhage]]. Mason disagrees and, given Rash's unwavering stance, proposes that he reconsider their wager. Rash brands him as "unprofessional", but, with Mason and [[Jacob Masters|Jacob]]'s encouragement, he acquiesces and agrees to the bet.
+In resus, Archie notices the burn on Seb's arm, and he claims that it is a friction burn from when he landed on the road. Regardless, she applies litmus paper to it, and it confirms that it is acidic. Will confronts her about her treating his patient, and Archie criticises him for not spotting the burn and goes to call the police.
 ''to be added''

Holby Wiki - Casualty and Holby City