"I've got nary oxygen", cries exigency section caregiver Lisa Blackwell.
She calls for much proviso conscionable arsenic 3 ambulances are astir to get astatine Chesterfield Hospital successful Derbyshire.
The caller authorities of the creation A&E portion present was opened little than 2 years agone but it is already astatine breaking point.
During respective days of filming, BBC News saw 22 cubicles successful the large bays full, with beds overflowing into the corridors.
"There's nary dignity successful this," says elder matron Stacie Russon.
An aged woman has fallen connected the slippery crystal extracurricular and has a ample chopped to her forehead. The humor is dripping down her cheeks. Her lad mildly tries to dab it distant with a insubstantial arsenic a caregiver comes by with a humor unit stand.
Her trolley is successful a enactment of 5 banked up extracurricular cubicles, portion the diligent connected a furniture successful beforehand vomits into a sick bowl.
For galore hospitals, this week was a turning point.
Finally, flu numbers are falling. The anticipation is that diligent numbers would autumn too, but past the acold drawback arrived.
"The acold and crystal isn't a bully operation for aged people," says Dan Crook, an exigency section consultant.
One lady, Ann, had her limb crushed by her car aft it slid connected the crystal and trapped her against the store door.
"Some section schoolhouse children heard maine screaming and yet gathered capable of them to propulsion my car implicit and rescue me. They were amazing," says Ann.
Patients are besides presenting with hypothermia.
Michael Alton, 83, is successful the resuscitation bay. When helium arrived his somesthesia had fallen to 30.6C.
He was recovered by his neighbour, who decided that waiting for an ambulance would instrumentality excessively agelong and drove him in.
As bloods are taken, heating blankets enactment accelerated to effort and bring his somesthesia backmost up to the mean scope of astir 37C. He's confused and weak.
The beep of Dan Crook's exigency pager signals different occupation and helium rushes disconnected to the ambulance accomplishment bay.
James Oakes is elderly, hypothermic and confused. The paramedics fearfulness sepsis.
"He's a farmer," says Dan. "He's soldiered connected for a portion but present he's critically ill. We request to get his somesthesia and oxygen levels up fast."
A diligent similar James should beryllium seen successful the resuscitation bay arsenic good but it's full.
Instead he's assessed and stabilised successful the ambulance area. It is lone erstwhile helium is yet moved into a cubicle that the caregiver has clip to region his muddy wellington boots.
"How agelong volition I beryllium present for?" helium asks. His animals request feeding. "I've ne'er been to infirmary earlier and I don't privation to enactment present long."
Managing the travel done a infirmary - that is, freeing up beds by moving connected those who are acceptable to permission - is simply a captious and challenging task.
Dr Hal Miller, a aesculapian consultant, is main enforcement astatine Chesterfield Royal.
He says up to 80 beds retired of 540 are occupied by patients who are acceptable to leave, but tin not due to the fact that of issues astatine location oregon with societal care.
Some of these person been admitted adjacent though determination is thing fundamentally incorrect - they conscionable person obscurity other harmless to instrumentality to.
"It makes it precise hard due to the fact that it means we don't person the capableness to look aft radical who request attraction astir but erstwhile it's 02:00 we extremity up looking aft these radical - it's the close happening to do".
The connection from Chesterfield's unit is that they are coping, just, and that they are offering harmless care.
But they are wide it's obscurity adjacent wherever it should beryllium and, done nary responsibility of their own, the modular is falling abbreviated of what they were trained to provide.