Thread:Mrucci0718/@comment-25050081-20170626202950/@comment-25050081-20170626211437

It's not a downgrade - paramedics on higher levels can earn much more than junior doctors. It has been confirmed that she's returning as a paramedic by someone from Casualty's BBC PR team. Even if this person hadn't confirmed this, it's clear that Sam is in a paramedic uniform and not the one the doctors wear when on call outs.