There's a COVID spike at Barnsley Casualty and positive cases are flooding in, adding pressure to an already busy day. Sister Rachel is in charge today and as a result of COVID she's short on space and staff. Every patient needs swabbing, and waiting times are long. But there's not just COVID patients to worry about - there's a raft of other emergencies too. Fifty-year-old Richard has rushed in with severe burns across one side of his body. He was setting fire to some rubbish with petrol when his clothes caught fire. He's in severe pain and the team needs to act fast to prevent infection and minimise scarring. Also in resus is 64-year-old Jan. His smart watch sounded the alarm when his heart rate dropped to a dangerously low level. Physician Associate Wayne needs to urgently raise his heart rate as his organs are struggling and could start to fail. In minors, 77-year-old Avril has arrived with a gash to the back of her leg. She was out shopping when a boxed BBQ fell onto her from another shopper's trolley, tearing her skin. It's a nasty cut but because her skin is so thin, stitching isn't an option, so Consultant James Griffiths has to find another way to treat the injury. Volunteer Jane is back from her holiday in Egypt and is catching up with colleagues she hasn't seen in a while. Her first job of the day is to clear the corridors of clutter that has amassed in her absence - and she's determined it will get done quickly. Lorry Driver Carl is brought in by ambulance after falling from the back of his wagon. He's not just fractured his wrist, the bone has broken through the skin, making things much more complicated. He's worried that a long-planned family holiday to Florida might now be in jeopardy.