In a year when the NHS has been under immense pressure, >> I want you to let me know if you get any pain. >> How much do you sell these for >> in the heart of Yorkshire? >> You see, he's got a little mouth. You all right here? >> A dedicated team is working around the clock. >> Nice deep breaths. >> Really well. >> You can have a look in your ears. See if we've got any treasure in there. >> Let us know when you're ready. >> I think we're ready. They're with us for our most vulnerable moments. >> It's very, very painful now. >> She's [music] really struggling. I need you to stay still, darling. >> It's like a labor. >> Facing life and death, trauma and tears, supporting each other through the toughest shifts. >> Be all right though. You've done really well. Keep going. M. Keep talking or singing out the stress. I've heard my singing. It's enough stress for anybody. >> How would you feel if I said you could go home? [music] >> I'd be alleged. >> Son of a >> This is casualty 24/7. >> Absolutely wonderful at Bar Hospital. >> On shift tonight, consultant Dr. Sue Mason. >> Do you like that? Oh, >> advanced nurse practitioner Dave. >> I think you've had quite a bit of a concussion. A new team are clocking on at Barnesy Casualty. 23 doctors, 19 nurses, and dozens of support staff will work together to help the ill and injured of South Yorkshire. >> Hi. Hope today's >> But they have an additional challenge on this shift. Matron Val is announcing a series of changes to get the department closer to normal after lockdown. >> Hi everybody. Just a little vlog just to make you aware of some changes that are going to be coming to the department and how we're going to do things. So, a really really positive thing is that our consultant buddies are going to be back with us in the hub. And the biggest change for nursing is that and that we're going to have one nurse in charge. I call it team leader. Essentially, if you are the name nurse, you're essentially the team leader, aren't you? >> We got a new system, haven't we? This is all new as well. Sister Bonita is taking this new team leader role for the first time. >> Right. What What are you all doing? >> Why aren't they answering? >> I need to get a few out. Being the one in charge for one of the first shifts that is going to happen is nice, but I don't miss all the stress that comes along with having to organize the team. Have you found this system all right? I see this new one. It just feels very chaotic. >> We also get hit with a new computer system. Computers are not my forte. >> And it's already looking like a busy day in the hospital. >> I've got a lot of treatments in my hands. >> The red phone calls are coming in thick and fast. >> Hello, Barnsley. Go on, my lovely. >> And the ambulances are lining up to deliver patients. 40-year-old Nicholas Carr was rolled over in a road traffic collision. Advanced nurse practitioner Dave brings his nine years of experience in the profession to the case. Nursing seems to travel in people's families. Both my parents work for the NHS. Um, so maybe it was fate that I've ended up in this job. Who knows? Hello. What's happened? >> I just finished work and on my way home and as I were driving on country lanes, a white car hit me and then it span right, went on its roof and then it ends back on wheels. >> Okay. So, I done a full full flip. >> Yeah. >> Oh god. >> One of the first things that we need to look at is are there any head injuries? Not all head injuries can be seen. Did you lose consciousness, Tom? >> No. >> What are your injuries at the minute? >> My head is really hurting the side. It's killing me. >> Mhm. >> Just pop your mask down for a minute. I'm just going to get you to do a few weird things with your face. Puff your cheeks out for me and hold them there. >> Good. Show me your teeth. Stick your tongue out. Move it from side to side. >> Is that painful? >> Yeah. >> Now you're getting a decent amount of swelling. Follow my finger with your eyes. Any blurring or double vision? I don't think so. >> Let's have a look at this shoulder then. Right. Whereabouts is the pain? >> Yeah. Yeah. >> You're quite tender over that shoulder. We get an X-ray. >> Any nausea? >> No. >> Okay. You might get some. I think you've had quite a bit of a concussion. What have you had pain relief wise? >> I had some cordal up. >> It's made no difference. >> No. Jump a bit stronger. Yeah, >> we'll get you some pain relief on board. >> Once the adrenaline has worn off, the patient gets time to sort of process what's happened and shock can sort of hit. Then you can sometimes get overwhelmed with emotion. >> Now Nicola can only wait to discover the extent of her internal injuries. Nurse Dave heads off to organize the X-rays. A new red phone call comes in. >> You want to bring him into recus then? >> Paramedics are blue lighting a patient with a suspected heart attack. >> How far away is that? >> 10 minutes. >> He's rushed straight to Reus. Reserved casualties most serious cases. Peter is in a critical condition. Sister Bonita is running the hub at Barnsley Casualty. >> Right. Phone me if you need me. >> It's her first time leading the reunited team after lockdown. >> Are you on better form, Josie? >> I was on good form last night, wasn't I? >> You were until we had to pull you back to do your notes. >> And the emergency patients keep arriving. We've got a a red phone coming in as well. Byebye. >> Paramedics are arriving with Peter. >> This one? >> Yeah. >> He was tending his son's grave when he felt a pain in his chest. >> Peter, we're just going to get you across on this other bed. Okay. Just roll towards me. Give me a hug. That's it. Lovely. I'm back. >> Fantastic. Right. Ready, steady, slide. >> Right. >> Hey, Peter. >> Hello. >> Hello. >> How are you feeling? >> Lousy. >> Registar Dr. Drew Greer is looking after Peter today. >> So, this is Peter. He's 85. Um, started with acute onset of rightsided chest pain med into his right arm. He described it initially as too thick. >> Peter is wired up to a heart monitor. >> You're in good hands. Okay, you take care. All right. >> So, what time did this pain come on then, Peter? >> 9. 5 weeks ago, I had the same sort of pain and had the paramedics out. >> Were you okay when you got up this morning? >> I was all right. Yeah. Yeah. >> No coughs or colds recently? It's >> our age. We're never short of flower. Coughs and sneeze. But now I've been fairly good, fairly fit. >> Right. Let's just get this quick tracing of your heart. >> How does it feel? >> There's all the the uh organs are struggling. You know what I mean? >> How old are you? 8 85 at the moment I feel like 105. >> The reason we're doing these heart tracings because we think the reason for this chest pain is you're having a heart attack. >> And it's hard to say. So you'll go to Sheffield Hospital now, the Northern General, and a cardiology doctor will see you. Yeah. >> Because what they'll most likely do is an angio. That's where you get a dye put in the blood vessels of your heart and they see if any of them are blocked. >> Is that what it's pointing to? >> That's the first thing we want to rule out. >> Yeah. Yeah. Okay. >> All right. So, we're just going to get the ambulances and things sorted. We'll take good care of you. >> Oh, thanks very, [music] >> Dr. Greer. Heads straight outside to find an ambulance. >> You need to go to the cast now. Is that now? >> Peter needs to be taken as quickly as possible to the specialist cardiac unit in Sheffield. >> Volunteer Jane is checking out the changes in the department. Look >> at all these new machines. Where all these new machines come from? I said, David, can I can I do me shopping on these? >> They're very snazzy, aren't they? E D C DO. Oh, very nice. >> In a time of added stress, there's a special new room for the staff to have time alone mask free. >> We've got some signs here now for a wobble room. This room has been set up now for people to just come and have a few minutes just to you know get their head together or just have a sit and have a coffee and just remember that they are well thought of and you know they are doing a good job and sometimes you need that little bit extra and that's what staff do at Barnesy Hospital. They might wobble a little bit, but they'll not fall down. Keep talking or singing out the stress. Have they heard my singing? That's enough stress for anybody hearing my singing, isn't it? >> Hello, X-ray. It's Dave, one of the ATPs in ED. Um, I've got a lady who's been in an RTC. >> Nurse Dave is looking after Nicola, whose car was flipped in a serious road accident. >> Thank you very much. Bye. She's now being taken for a series of X-rays to check her shoulder and head. >> The team have discovered that her sister-in-law Gemma works in the department. Not only that, she's just finished her shift in pediatric casualty. >> Hi, it's Gemma. >> Hia. [music] I'd heard that car had overturned, so I was just worried about what she were like. Really glad I were here cuz obviously it's a bit difficult for people not having relatives here at the minute. Fingers crossed she's going to be okay. >> There's always a bit more pressure when uh a patient's relative is also a colleague. Not that that means that they get any different treatment, but it's always there in the back of your mind. >> All right, sounds stiffening. You're going to get worse in the next few days. You're going to get more stiff, aren't >> some or your pain. Are you okay to do it? >> Yeah. >> Do you want me to bring out Jonathan? >> Yeah, you can go. Yeah. Thank you. >> Gemma leaves to let her brother know how his wife is coping. She's had a X-ray of her shoulder and X-ray of her jaw and he's just going to have a look at X-ray now and then um he'll let us know what's what. >> Right. >> She's just getting more and more air. She's got a bit of a bump. >> Did they set up about a CT or >> doesn't necessarily mean she needs a CT? I don't think but I'll let you know if they do. >> Cheers. >> See you mate. >> Who saw Robin? All we have to do, we don't need to try and chase him back. >> Waiting times arising in Barnsley Casualty. Consultant Dr. Sue Mason cranks up the pressure on the doctors. >> There are a lot of patients waiting to be seen. As you can see, so can we just make sure that we pick up in a timely way. We assess the patients. If we've got a question, don't hang on. Come and ask one of us what we need to do if you're not sure so that we keep things moving along. Otherwise, we're going to end up with a really busy day. >> Thank you, Matthew. >> She has a patient of her own to see in cubicle 2. >> Good morning. >> I've just come to have a look at you. >> Do you want to sit up a little bit? >> Sure. >> Oh, lovely. >> Right. Yeah. Shuffle back if you can. Well done. >> Oh, well done. Excellent. How's that, Bob? >> Tell me what's been happening with you then. Friday, I'd started itching all over. >> Yeah. >> And I thought it were going away. Then I put some moisturizing cream on. That didn't make it any better. So I got to bed last night and I could feel it all on me chest tingling and itching. I just want to scratch. My legs start to dent. So I took me clothes off and I thought it's time to do some of this. >> Yeah. And I'm also suffering with a dry mouth. And apart from that, I don't think I've done it up close to >> Is changed. Have you got a rash? >> No. And I've been scratching here. >> Can we just have a look at the rest of you then? >> What I'll do is just pull the curtain a little bit. >> Toenail marks. That's me scratching. >> Yeah. Who do you live with? >> Jack Jones. >> Right. David lives on his own, so he's always grateful for a helping hand. >> Is your back itching? I >> It's all itchy, especially up here. [music] >> Oh, that's >> Do you like that? [laughter] >> I mean, it may well be that you do need a decent moisturizer, although, but your skin is not bad at all. I always try to show affection for patients wherever possible. So I am not averse to giving patients a hug if I feel that it's going to help. >> All right then. So I might put you on a little tablet just to try and stop that feeling of itching and also a bit of cream. >> Yeah. Yeah. >> But at the moment I can't find anything for you to worry about. >> Right. We see so many patients who are elderly who are lonely and I always try to um obviously treat them for their medical problem but they um often just need a little bit of care and love and attention. >> That nice little rub you'll get me on the back. >> I think the hot weather won't help. >> Dr. Mason has done what she can for David's itchy skin. Now she'll try and sort out his dry mouth. >> Now, would you like a coffee or tea or something? >> You know, I'm gagging for some. >> What would you like? >> Hot chocolate. >> I'll see what we can do. We'll get Jane in. All right, lovey. >> Sister Bonita is still getting used to the new computer system. >> No, nobody knows where he is. >> As in they've not transferred him down. And then he'll not be on your screen cuz he's in our waiting room. But is he down there physically out by >> just people not handing stuff over? They didn't know he was down there. He's been down there 2 and 1 half hours. >> She's trying to track down a missing patient. >> Does anybody know anything about a John? >> Yes. Is she your 96y old? >> I ain't got a clue, love. I've got AMU on the phone saying she's she's in their waiting room, but she's not there. Let me run them out and look. We thought patients were disappearing on the system. Not physically. Yeah, the patients are still with us. Thankfully, we haven't we haven't lost any patients, just the computer system. >> Over in recess, Peter has suffered a heart attack. [music] The paramedics will be taking him the 16 miles to the specialist cardiac unit in Sheffield. >> Hello. >> How you doing? >> Hi, Matt. >> All right. So, we can take you down to Sheffield. >> Yeah. >> Just going to take these off you and put you on ours. All right. >> Okay. >> All right. So, don't do anything silly in the meantime. We haven't got you connected up. All right. >> I'm sorry. I'm a bit >> You're a bit deaf. It's a bit deaf. >> That's all right. I'll speak loud for you. >> Okay. >> Is that all right? >> That's better. >> So, what were you doing this morning? >> I was preparing to cut grass around my son's grave. >> Okay. >> And I was lifting a lawn mower into the boot of the car. >> Yeah. >> And I got it in all. And then as soon as I got a bottle water to for the flowers and it came on down this com there. >> Yeah. >> Still there. D >> still got the stale pain. Now >> it's a dull ache. >> So what I need you to do while we're going to Sheffield. Okay. We're going to chill out and enjoy the ride. Okay. But if anything changes in how you're feeling, you need to let me know straight away so I can help you. Okay. >> Yeah. Okay. >> All right. What you don't need to be in is pain. So if it's still hurting you, then let me know and I can get you out of pain. All right. Okay. So Ra is here. Dr. Nurse is still about. I'm just going to go and get some some painkillers for you. All right. >> Okay. Cool. >> All right, Peter. >> You're wondering what's going off, aren't you? >> I'm look after you. Don't worry. >> I'm not uh I've always admired this sort of thing. >> Yeah, >> I think you're fantastic. We tried. [laughter] >> Peter waits for the ambulance team to stabilize him in preparation for his critical transfer to Sheffield. >> Hi, it's Bonita. Can I have an orthopedic bed, lovely, please, for a lady? Bye. Sister Bonita is running a busy shift at Barnesi Casualty. The department has just been reorganized under a single team leader. >> She's just got to wait for a bed lover. I've got three to get out before her. All right. >> But at the moment, she's got other things on her mind. >> Did you take that one back? I like that, Steven. That pen. You took it off me yesterday. >> Would you like it back? >> Yeah. It's got a torch on the ends. I am useless with pens. I don't know where they go. [laughter] I try putting them in my bun so that [music] I don't lose them, but inevitably by the end of each shift, they've gone. [laughter] >> 83year-old David came into casualty with two concerns. The first is dry skin. I just want to scratch. >> Dr. Mason prescribes cream for that. The second is a dry mouth. >> Oh, Jane, you're there. >> That's volunteer Jane's area of expertise. >> This lovely man in the hub is the first one on the right. Uh he'd love he'd love hot chocolate. >> Hot chocolate. >> Would you like any brandy in that hot chocolate mumba? >> Whiskey and tea. >> He'd like I'll tell you what he'd like. He'd like you to scratch his back for him. >> Oh, Gordon Bennett, >> are you are you real? >> It's never ending. Go for it. >> Good morning, sir. >> Good morning. >> Now then you want to back scratcher. >> Ah, >> that'll be me then. >> And I'll go for uh ah hot chocolate. >> Hot chocolate. So >> what do you want me to do? Hot chocolate or back scratch first? Uh uh. Well, if you can stretch us any bit, we'll have both at the same time. >> Do you want any toast? >> No. >> Can I get you a biscuit or something? >> A biscuit, please. >> Okie dokie. See you shortly. >> Hot chocolate. >> The kitchen has just reopened, so David's drink proves a bit of a challenge. >> Well, I think your hot chocolate is here, isn't it? That's not the use for ornament, is it? So, [snorts] no hot chocolate in there. Some here though. Stirring top water. It's a bit watery there, haven't it? Stick a bit more in. So, at the moment, we've got two kitchens. So, it's searching iron law for things and gets taken out of one kitchen and put in another kitchen. Then, you've got to go find it again. David, just try that. I hope you don't choke on it now. It's not right. >> Oh, that's lovely. >> Are you sure? >> I am, boys. >> See? Oh, well, I'm biscuits now. See if I can find you some biscuits, darling. They've moved them. >> Thank you. >> All right, love. >> In recess, Peter has had a heart attack. >> Somebody let my wife know. >> This is the latest in a series of cardiac problems he's suffered. Yeah, I'll give her a bell. Hi. She's a warrior. >> To be wondering where you are. >> He needs an urgent transfer to the specialist cardiology department in Sheffield. Paramedic Matt makes him comfortable for the journey. >> How's that pain in the chest now? That dull feeling still there? >> Yeah. >> Right. So, when people ask you about pain, okay, >> that talking about that dull squeezing pressure in your chest. Okay. >> Yeah. Just so we're clear. All right. Can I just have your arm? >> Okay. This might make you feel like you're having a good night out on the town. Okay. >> Oh, that's good. >> Good. >> Good. >> All right. Let's get you moved then. >> Go, mate. >> There we are. Peter, you're comfy. >> How's that pain feeling now? >> Doubled up when she's standing. Easy. >> Take care, Peter. >> I'll take you down. >> Thank you. >> Thanks. I appreciate that. >> Fastest ride you've ever had to Sheffield. This pizza. >> Yeah, the west as well. West and the fastest. >> Peter was rushed for critical treatment at the specialist unit at Sheffield Hospital. Volunteer Jane is on the hunt for biscuits. >> What I need is a scooter now. You know them little electric scooters to go all the way down to the bottom for biscuits. Hello. >> Hello. >> Biscuits. I've no biscuits in kitchen down there. Right. No biscuits. Any biscuits? No biscuits. Right. Not in here, are they? No. What? Where's the biscuits? Seek and you shall find. Now then, we've got biscuits. Hh. Let It's a bit like Let there be a light, isn't it? I'm taking some of these biscuits. Sher to kitchen down there. I'm sorry it's taking me so long, David. I've had to walk to Timbuk 2. >> Don't worry, love. >> Now then, >> jammy dodger >> hallmeal digestive >> borbin shortcake. >> Oh, digestive, please. >> A digestive. >> Thank you. Appreciate what you do. >> No problem. >> Seen you around here for a long, long time. >> I've been around here for a long, long time, aren't I? And I've been coming too bloody long enough. >> Don't say that. >> All right, love. >> Not like a digestive. Can't beat it. >> Need to write a review on Trip Advisor. G five stars. You've come back again. See you later. >> We do get a few regular patients and it's not nice to see him, but it's nice to see him if you understand what I mean. Nice to see you people, but not in A&E. >> Sister Bonita has a series of patients in danger of breaching the 4-hour target for how long they should stay in casualty. >> Right. So, is Keith gone? >> Do we know ages ago? >> Yeah. Sylvia, >> he is in one. >> Get those two, three ready for the war. They all need swapping obs. rest bar is doing and then the rest we just need to make sure the robs are done and that they're safe because they've been here nearly four plus hours. If they go over four hours that is classed as a breach. We want decisions to be made on patients. We want them sorted out but yeah nobody likes too many breaches [music] by the name. >> Nicola came in two hours ago after a serious car accident. Her sister-in-law, Gemma, a pediatric casualty nurse, has come down to support her. >> Okay. >> Stiffening up, aren't you? >> Yeah. I'm trying not to tell you it's worse. >> Nurse Dave gets Nicola's X-ray results. >> When I was poking her sort of here, She was really tender. Have a look at her jaw next. She's tender and a bit of swelling over the right side. >> There's always one particular worry after a car crash. >> Oh, just borrow your eyeballs for two seconds with some head injury advice. >> Yeah, of course. >> He checks with consultant Dr. Joe Stone. >> And that's where she sent her, is it? Yeah. >> Just under about here. And then she's got >> Oh, all right. >> Cool. Hello. >> You've had a pretty lucky escape. >> Yeah, good news. Nothing's broken. >> Um, everything looks uh looks in good condition. >> That's good. >> Nicholas is very lucky to get away with just a few bruises and aching muscles. It's a It's a very lucky outcome. >> Have you got some way of getting home? >> Yes. >> Yeah. Mrs. She's a good end. >> Marvelous. You're going to pay overtime? >> Yeah. Yeah, [laughter] >> worth more than that. >> Smash it. >> All right. >> Thank you. >> All right. You're welcome. >> I'll go get changed and then I'll come back. >> All right. >> Yeah. >> All right. Thank you. >> Nicola and her designated driver head home well within the 4-hour target on casualty admissions. >> You're going a bit dizzy on this. >> She's now back in work after a full recovery. On duty and minor injuries today is emergency nurse practitioner Becky. >> Stopping up for weekend. I love my job. Absolutely love my job. Um I've been in A&E now on and off for 17 years coming up. Nursing can be one of the hardest things anybody will ever do, but it is the most rewarding, satisfying career that anybody could have. And we're actually going goose pimply now talking about it. >> She's picking up her latest patient from the waiting room. >> William, please come play flower and have a look at you. >> 66y old William has suffered a DIY disaster. >> Take a seat in this room. be on that chair there, my darling. All right. So, what have you done today? >> My finger. I were knocking a nail in a piece of wood and >> I must have missed. >> Right. >> The finger I've ate. >> Yeah. Let me just get some gloves on it. Let me get some gloves. >> I didn't realize how bad it was. >> Yeah. >> And this isn't just any finger. This is William's ring finger. >> Right. First thing I need to do is Does this ring normally come off? Just watch it cuz you're bleeding all over. Flower. You want some soap to help it off? >> Ah, if you will uh Oh, I might get it. >> Manage. >> Right. You support your finger and your hand. I'm just going to try and pull it off. >> What time did you do it? >> About an hour ago. I got married 2 years ago, but I proposed to her 28 years ago. >> Good grief. >> 30 years to get ring on finger. >> It's fabulous. >> Right. So, pop your finger on here now. Let me have a we look. Yeah. >> My wedding ring. >> I think because it's a crush injury, so to speak, because you've had it down, you've been hammering. >> I think we need to rule out that there's nothing broken. The first thing we do. Okay. >> I would have thought they were. >> Yeah. But the the bones in here are tiny. You've got lots of fine structures in your hand. You know, you've got nerves, you've got tendons. It could be limb threatening. Life changing if if we don't get it right. >> So, let's just get it covered up so it might sting a wee bit. >> Don't lose my wedding ring. >> No, I'm going to give you that one, darling. You can take that with you. >> Can I put it on the other one? >> Yeah, that's fine. Get it on there. >> 30 year we got married. I had two wedding cakes. One would have bought B. >> Something different, isn't it? >> Oh, >> right. Yeah, let's get an X-ray. >> Shove that on. I won't kill me. >> Tight on that one as it is on the other one. >> Be all right. >> Are you sure? >> Keep it elevated. >> All right, love. Thank you very much. >> You're welcome. >> William heads off for an X-ray to discover how badly his hammer has harmed his hand. In the hub, Sister Bonita is now badgering the doctors to update the patient record system before they clock off. >> Will you all make sure that the coded before you go home? Cuz I will I will contact you at home to come back. Joe, don't I get you back? >> Yeah, I do. >> Absolutely. Well, if they did what they needed to do, I seem I wouldn't have to harass them. >> I used to like >> I ask in a nice way, Joe. >> In cubicle 2, David is finishing his snack. >> Dr. Mason arrives with his prescription. How are we doing? >> You feeling a bit better now? You've had your >> coffee? >> Oh, that's all right. But I'm It's started to feel itchy again. >> Has it? >> Yeah. >> I've got you some tablets here for the itching. And I've got you some more cream to use. >> Right. Okay. Lovely. Yes. >> I hope it gets better. >> I always have good service here. >> I know. >> That's good to hear. >> Yeah. >> And that's why they all keep coming back. Volunteer Jane will take David to his son-in-law in the car park. >> Here are David. You'll be wheeled by Dick Turpin. >> You come to take me, Lord. >> Not sure where we're taking you to, but we're taking you. >> Yeah. >> Come along, dear. >> Quickest way. >> No such thing these days. >> But volunteer Jane has to put up with a stream of directions from her backseat driver. >> Right down here. Yeah. milk. >> Yeah, it's this one up here. >> Yeah. >> Hey, I knew that walking stick come in handy for summer, >> right? Hey, David, >> but I'm presuming he's come to this car park here. >> Ah, but that were full. So, >> he'll have got in. >> I assume. Oh, >> well. Oh, well. >> Don't assume anything just yet. >> New car part. So, >> it's a cross road then, is it? There's that many car parks now that knowing which car park the person were waiting for the patient were in and I got mixed up and I took him to the wrong car park. Oops. >> Do you want this gentleman? >> Certainly don't. >> I'll come with you and then I take me my wheelchair back. You push that last little bit. >> Would you park much further? Just wondered like >> I had to wait 10 minutes to get in >> to get in. All the very best you love anyway. Look after yourself. Same to you. It's nice to have met you. >> David's antihistamines cleared up his itchiness over the next few days. >> Meet again under different circumstances. >> That would be nice. >> It would be nice, wouldn't it? All the best, Lord. >> Thank you. >> Pop this back on. >> Sister Bonita has been running a new system on a busy casualty shift. Oh, >> she needs a moment to clear her head. [music] >> It's just very busy. And I don't feel like I feel like I'm just winging. I'm not getting anywhere fast. I just want to go home. [laughter] Right. I'm going to have to go back. I need to sort it out. >> She still has 3 hours left of her 12-hour shift. Right, let me work out now where I am. >> Sister Bonita is team leader at Barnesley Casualty. >> Are you all right though? Yeah, you've done really well. Keep going, mass. >> She's had teething problems leading the newly reorganized team after lockdown. >> It felt dreadful actually. Felt very chaotic, but it's better. It's definitely better. But patient numbers are slowly coming down. >> Are you all right though? >> Are you all right though? Yeah, you've done really well. >> On duty today in pediatric casualty is registar Dr. Sarah Foster. >> I forgot Reggie. >> Hello, I'm Sarah. What have you got on your top? Oh, it's a Justice League one. I knew I'd like you. Come on through. Nicola has brought in her four-year-old Reggie with a nasty bump on his head. >> Reggie, do you want to sit on the chair with your mommy? Do you think you can tell me what happened? Should we get mommy to tell? >> He's been on a segway board and he's banged his head on metal bench. So, I thought I best come and get him checked out. And I think he's banged his nose as well, cuz that will bleed him, won't it? >> Okay. And he didn't lose consciousness, did he, when he hit his head? All right. Has he been sick since he just hacked him? Have you found any injuries anywhere else? >> Just his head. That's all. >> Just his head. >> And he has got a few bruises from now >> from being. >> So Reggie, what I need to do is I need to have a look here. Is that okay? >> Can you show me your teeth? Open your mouth really wide like a lion. >> Very wide. >> Well done. He's not had any bleeding from his mouth. His teeth look lovely. Well done. Can have a look in your ears. See if we've got any treasure in there. Might tickle a bit. Good boy. That looks brilliant. Can you turn that way with your head? Good boy. And can you turn the other way? Well done. That's really good. Just seems to be that poor forehead, doesn't it? >> And it has gone down a little bit, hasn't it? >> Things I worry about is if, for example, you struggle to wake him up in the morning, whereas normally you wouldn't. That's unusual for Reggie. So, there are reasons to come back. If he started vomiting, that's a reason to come back. But the gist is if he's his normal self, he's eating and drinking okay, that's fine for him. I worry about kids that are drowsy. >> Yeah, >> you want your blanket. That's a good idea. You can have your blanket. But it's a good bump on the outside, but I can't see anything more sin. So, we'll just get you some advice about his >> forehead. A to go down on that. >> It probably will take a while. Yeah, it's a good going bruise, isn't it? >> I'll just go get mommy some advice. You stay with your blanket there, Ry. You were super brave. >> All right, buddy. So, we've got the head injured advice sheet. It is quite long. >> Yeah. Thank you. Is there anything else you're worried about or just want to ask before you go? >> No. >> I mean, you could always climb on my chairs. Everything's a climbing frame, isn't it? >> Check. >> Oh, I'd always rather get checked out so you don't have to worry, do you? You can then get some sleep tonight, can't you? Rather than keeping him awake and worrying. >> Yeah. >> Bye, Reggie. >> Bye. >> See you later. >> Bye, Reggie. [music] >> Thank you. >> See you later. >> Super cute. I bet he's not normally that quiet. Reggie has made a full recovery and is back out on the Segway. >> He's gone. He's gone. We are getting round to being on top of it. [music] >> Former minor William was sent for an X-ray after he hit his hand with a hammer. >> I've got my wedding there. I know his beat bad. >> I have a seat here. The results are sent through to nurse Becky. >> Right, let's get him in. So, got your X-ray on the screen. >> Looks all right, don't it? >> Looks absolutely fine. Everything's where it should be. I can't see any broken bones. I can't see any foreign bodies. I just need to get it cleaned up and then we'll put you some stitches in it and then addressing and then you can go. >> I can go. Good. Ready for me? Percy Turner's B. >> Percy Turners. What are you having? Sauce. Brown. Got to be brown sauce. Oh, got HB. >> I'm going to ask you to lay on bed and I'll get you sorted. >> Watch your head. >> You know, >> got to claim in there. >> I said watch your head just before. >> So, I am going to be injecting into the wound. >> Yeah. >> It sounds worse than what it is. Like a beast. Like a beasting. Okay. It can't be any worse than what you've got now. >> And then we'll get a good result then. Okay. >> Yeah. A champion. >> Right. So, nice and still there, my darling. Sharp scratch coming in now. >> Put your plenty in. >> Uh, >> you feeling it? It's going in. >> What needle? >> I'm feeling there, but it uh I say I've had that many needles at hospital. It don't bother me. >> You just get on with it, do you? Strong lads in Barsley. They're not like them southerners. The meds them, you know. I say a lot of people be on floor keeling over you know you'll get people walking in with injuries that you know your eyes are like you know shock you're shocked you're absolutely shocked at what you're seeing. So yeah they are quite tough and hard around here. >> He's talking in he got a little mouth. >> Are you all right there? >> You've got to de laugh a >> you have right. Should we get it closed? >> I'll not be able to get me wedding. >> No. You need to keep it off for a bit while it's settled. Uh, >> no doubt you'll have [music] skin, right? Tough. Get another one in this end. That's it. That's better. >> Promise me you're going to look after it, aren't you? >> Yes. >> Yeah. >> All right, Becky. Ta. >> William's finger has now healed well, and his wedding ring is back where it belongs. It's time for nurse Dave to get ready to go home. [music] Relief to get the mask off. Bit of facial freedom. Another interesting day. I enjoy my job, but it's nice to finish. There's uh a lot of stress throughout the day. Manageable, but it needs to come to an end at some point. And by the end of the shift, you're ready for it. And Sister Bonita's first stint under the new system is also coming to an end. >> Get me highlighters back out. >> Now she just needs to finish her paperwork. >> Definitely a busy shift. Feels like we're kind of [music] getting back to an area of normality really with it. But um new way of working has been a bit challenging, but we're getting there. Yeah, be fine. Day done. Job done. Staff are happy. >> Lovely. >> I've got through the shift. [laughter]