"A Grand In The Hand" is the 43rd episode of Casualty and the third episode of the 4th series.


Four young people – brother and sister, Karen and Richard Cumming, Graham and Lorna come out of the ‘European Single Market’ seminar singing and drinking, and get into a yellow mini. Meanwhile, Virginia, a suicidal woman, accelerates her car into a wall – but she collides with the yellow mini – three of them die, and the driver, Richard, is brought in with broken bones in his face. His Mum, Pamela, and other sister, Sheila, arrive and tell him the bad news. A PC, who has found cans of lager in the mini and wants to breathalyse Richard, but Andrew tells him it will prove fatal. Sheila is angry and goes to see Virginia in a ward, where Virginia admits it was her fault and she didn’t mean to hurt anyone else.

On a building site, Bobby Masters, slips on scaffolding and hot bitumen spills onto him. In casualty his boss, John Breckman, tries to buy his silence with £1000, but his wife, Helen, is persuaded by Valerie to sue – and Helen gives him back his money.

A squash player, Matthew Taylor, dislocates his shoulder, Lucy tries to put it back into place but fails – it’s the strength of Charlie that succeeds.

Serena Thompson has swallowed a razor blade – and is glad at the attention and Charlie recognises a regular old man, Tommy Boyle. Alex soothes a young girl worried about her pet chicken.

Charlie catches Megan taking Valium from the store cupboard, she admits she is dependant, but promises she won’t take any more. Valerie overhears and says she should report it, but Charlie refuses. Cyril has decided no to go to California and Duffy tells Andrew she’s pregnant.

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