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Behind the scenes at the UK's most remote hospital. At the Gilbert Bain in Shetland, a team of doctors and nurses work alongside GPs, paramedics, coastguard, lifeboat crews and police to provide emergency and medical care to the islands' 23,000 residents. They also deal with thousands of oil and gas workers, fishermen and tourists 24 hours a day, 365 days a year. Shetland throws up unique challenges for this tight-knit team.

In this episode Brian, an engineer on an oil rig, is airlifted by helicopter to the hospital with suspected serious neck injuries. It is an urgent case for Dr Lalla and his team in accident and emergency because, aside from his injury, Brian has a worryingly low heart rate which requires thorough investigation.

Coastguard and lifeboat teams are scrambled to the aid of a pleasure boat whose propeller has been fowled just feet from Shetland's jagged rocks. Back in the hospital, one of Europe's strongest men comes in with an injury that has come about because of his incredible strength.