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;
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