Marcus stuck his claws in again (Pictures: BBC)

All the hours Jacob (Charles Venn) must put in at the gym paid off in tonight’s second episode of Casualty, when the athletic nurse performed heroic deeds to rescue a badly injured man who’d fallen from a cliff.

Sunni had been lying injured for three days by the time Jacob found him while out on a stress-relieving run. His leg was trapped by a rock and he’d lost a lot of blood, but there was no phone signal. Jacob ran off to try to get a signal, but despite running for ages he failed to reach anywhere where his phone would work. So he returned to Sunni, who by then had taken matters into his own hands and tried to cut his foot off with a knife to escape.

In very gory scenes, Jacob had no option but to finish the job. Then he hoisted Sunni over his shoulder and set off, possibly hoping he could make it all the way back to Holby before his patient died. Luckily a car stopped and they were soon back in the ED.

It wasn’t the end of their problems, though. Sunni had a seizure and bit his tongue and was losing a lot of blood from that and his leg. With no doctor in sight, Jacob prescribed the medication Sunni needed and saved his life.

Dylan (William Beck) approved, because for him, like Jacob, it’s all about saving people’s lives. Marcus (Adam Sina), however, was furious at Jacob’s illegal act and told him he was unprofessional. A furious Jacob told him that everything he’d done had been professional and necessary and he would do the same again. He pointed out the realities of the staffing levels they were having to work with.

Meanwhile Dylan thought he’d made a breakthrough in his investigations into the Willco House care home abuse mystery that’s been troubling him for the last few weeks, when a patient called Brian seemed to be afraid of his carer, Dean, who also did shifts at Willco House.

Dylan became so convinced that Dean was the abuser that he rang the police officer who dealt with the fire at Willco House and she came to talk to Brian. It turned out that Brian had been injured by a man he’d hired as an escort and he was hugely embarrassed to have been outed by Dylan.

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Marcus was furious at Dylan for ignoring his instruction to give up probing into the goings-on at Willco House. Dylan accused him of having ‘cronies on the board’ of the care home. That was the final straw for Marcus who said that Dylan was being stepped down from his job as clinical lead with immediate effect.

This demotion paves the way for the arrival of new clinical lead Max Cristie, played by former EastEnders actor Nigel Harman. He’s due to arrive later this month, and in a nice twist he and Dylan already have history which goes all the way back to medical school.

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This demotion paves the way for the arrival of new clinical lead Max Cristie.