When a busy night descends into chaos, Robert worries that his department cannot cope. Kate deals with an elderly patient who shows no signs of medical requirement, but is shocked when the woman unexpectedly dies whilst waiting to be transferred to a ward. Mike tries to persuade Cathy to leave with him for a new life in London. Robert deals with a car crash patient who is impaled on a fence post. Stuart tries to persuade Louise to give their relationship a try, and Terry ends up in a fight with a distressed relative.