Holby fictional hospital within the city in which "Casualty" and "Holby City" are set. It is based on the Bristol Royal Infirmary which the original script writers spent time observing in the 1980s in order to garner ideas for "Casualty". Although both shows are set in the same hospital, "Casualty" is primarily filmed in Cardiff, whilst "Holby City" is filmed in Hertfordshire at BBC Elstree Centre. The indoor shots for the first series of "Casualty" were filmed at BBC Television Centre in London. The exterior shots of the hospital used in "Casualty" were formerly filmed at the City of Bristol College;
Pre-hospital emergency medicine specialising in anaesthesia. Pre-hospital emergency medicine Pre-hospital emergency medicine (abbreviated PHEM) is a medical speciality which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals. It is a subspecialty which may be practised by physicians from various backgrounds such as anaesthesiology, emergency medicine, intensive care medicine and acute medicine, after they have completed initial training in their base specialty. Doctors practising PHEM are usually well-integrated with local emergency medical services, and are dispatched together with emergency medical technicians or paramedics where potentially life-threatening trauma or illness is