A young wife brings her husband in to the hospital with a suspected brain haemorrhage, and he is not expected to survive. The issue of organ transplant is raised. At first the wife says yes, but later changes her mind.
A suspected peritonitis case is brought in. After an exploratory operation, Smedley finds a tumour in the woman's abdomen, but makes a error of judgement by telling the woman that he thinks the all cancer has been taken out, however tests reveal that she has only days to live.
Dr. Collin is told by Dr. Turner to continue with a procedure to fit a temporary pacemaker even though he has only seen one done once before. When he gets stuck, Claire who is not on call has contacted at home and brought in to help.
This is a wonderfully crafted episode, that is centered entirely around Dr. Collin in casualty. He is the sole doctor available, aside from scant help from Liz Reid, and treats several patients under difficult conditions, including a heart attack victim, a man who has a potentially dangerous cord compression, and a man suffering from a drugs overdose.
A patient, a Michelle Elliot is brought in who appears to be suffering from sharp pain in her stomach. Lots of tests are performed on the woman throughout the episode, however at the end it is Maitland who establishes that she does not have any actual illness, and is faking her symptoms. She is in fact suffering from a kind of illness - Munchausen's syndrome.
This excellent episode interweaves a storyline about shaken baby syndrome with which Dr. Raj deals with, a cricket match between the junior doctors and consultants, and a behind-closed-doors meeting about how to resolve Phil Kirkby's possible manslaughter charge.
A man covers himself with flammable liquid in casualty and threatens to set himself alight. Sister Novac eventually persuades the man to stop.
A man and his daughter are brought in after a car accident. The man survives relatively lightly, however the daughter goes on to suffer brain damage.
Mr. Docherty plans on proposing to Mrs. Trimble. In a bad day for Mr. Docherty, he accompanies a patient in an ambulance over to the General, however finds that he does not have a lift to return him afterwards.
Sister Pereria (from series 2) returns bringing in her son for treatment. DeVries finds out about the blood group and that the boy is his son.
David the kidney patient returns again as an emergency case. They have reached end of line with dialysis and he is told that he needs a transplant fairly urgently or he will die.
Because of staff shortage Liz hasn't slept for three nights. She is asked to turn off the ventilator of a brain-dead patient (with relatives present) and accidentally presses the wrong button, which triggers a noisy alarm. She later has an argument with a patient.
A suspicious looking doctor starts doing the rounds at the hospital. The staff hold a surprise party for Mr. Docherty who is getting married the next day.