The instalment, called Thin Green Line, focuses on real-life pressures facing paramedics.
Casualty is the world's longest running medical drama, and it is the first time in its 36-year history that scripts have been ditched and every scene improvised.
He claimed improvising the show, filmed at the BBC's Roath Lock Studios in Cardiff, helped portray an "authentic experience". "It allows the actors to really access their characters in a way that when you're very plot driven it never really does," he added.Michael Stevenson, who has played Iain Dean since 2012, said the episode had a particular "realness""We met the guest actors in real time, in whatever situation they were in, which kept it fresh for us," he said.
Show advisor, paramedic Laura Johnson, was initially nervous about the premise, but said she came to think the idea was "genius". "There were points in there where I laughed, there were points where the hairs on the back of my neck stood up and there was a point where I cried," she said.
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