Casualty (TV series) staff and patients of the hospital's Accident and Emergency Department. The show has very few ties to its sister programme "Holby City", which began as a spin-off from "Casualty" in 1999, set in the same hospital. "Casualty" is shown weekly on a Saturday evening, which has been its time slot since the early 1990s. "Casualty"s exterior shots were mainly filmed outside the Ashley Down Centre in Bristol from 1986 until 2002 when they moved to the centre of Bristol for just over nine years. In 2011, "Casualty" celebrated its 25th anniversary; following that, for the Bristol finale, they filmed the
Inova Alexandria Hospital pivotal role in creating the modern medical specialty of emergency medicine. Before this time, hospital emergency departments (EDs) (also called emergency rooms (ERs)) were generally staffed by physicians on staff at the hospital on a rotating basis, among them family physicians, general surgeons, internists, and a variety of other specialists. In many smaller emergency departments, nurses would triage patients and physicians would be called in based on the type of injury or illness. In 1961, an Alexandria Hospital general practice physician, Dr. James Mills, recognized that visits to the hospital's emergency department had rapidly increased while staffing had failed to