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Casualty stars Gillian Kearney (Jessica) and Tristan Gemmill (Adam) went in at the deep end to film this week’s dramatic scenes in which Jessica relives her lake crash ordeal while lying in a coma in hospital.

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The special shoot took place at the underwater stage at Pinewood Studios in Buckinghamshire.

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Before filming begins, a diver checks over Adam’s submerged car to make sure that it is correctly positioned and safe for the actors.

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Then the director shouts ‘action!’ and Gillian and Tristan begin recreating Adam’s desperate efforts to rescue Jessica and baby Harry from his lake-bound car.

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During a break in filming, Gillian briefly emerges from the vehicle to take in more oxygen while clinging on to the prop doll which is taking the part of little Harry.

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Then it’s one last gasp from the oxygen cylinder and brave Gillian goes back into the car with the doll to resume work.

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As the cameraman moves in for a close-up shot, Gillian floats gracefully out of the vehicle.

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