In Saturday night’s episode of Casualty the hospital’s emergency department was struggling with an influx of patients.

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One of them was Elsie, who viewers immediately clocked was played by former Coronation Street star Amanda Barrie.

She was brought in by Faith Cadogan [Kirsty Mitchell] with some painful-looking injuries on her hand and leg.

But, after Elsie snuck out of the ward and headed for the pub, Faith caught up with her and noticed a gash on her neck – connecting the injury to a number of other patients from the same care home.

Fans took to Twitter to comment on seeing Amanda, 87, in the show.

Commenting on the packed emergency room, one wrote: “Heavens, not watched casualty for ages, it’s all got a bit political. Hope Amanda Barrie gets seen quickly.”

Another questioned: “Is this Alma’s first gig since Coronation Street?”

And a third said: “Alma Baldwin! It’s been a long time!”

Amanda played Alma in Corrie from 1981 to 2001 but it’s not the first time she’s appeared in Casualty.

She first popped up in October last year when Elsie was first rushed to the ED.