This article covers a real-world subject which should not be taken as part of the Holby universe.
"Salt and Sugar" is the 634th episode of Casualty and the 44th episode of the 22nd series.
Synopsis[]
Toby ignores Sean's advice and operates on a woman's broken leg without help, only to realise later he has made a dreadful mistake. Kelsey is devastated to learn the truth about Internet boyfriend James, and Adam bonds with Jessica's children, and Alice acts out of character at her party.