The ambulance service that covers Staffordshire faced a barrage of calls in the aftermath of England's World Cup exit last night.
Over 1100 calls were received between 9.30pm and 4.30am - that is up 15 per-cent compared to the same time the previous week.
Assistant Chief Ambulance Officer, Nathan Hudson, who was in control of the Trust, said: “Almost immediately after the final whistle, the phone lines lit up.
“We were called to over 40 reports of assaults in the aftermath of the match. We also dealt with a number of serious RTCs and other drink related incidents with people falling over, drink fuelled cases of bravado leading to injuries. Sadly, we also saw a number of cases of domestic violence.
“The high levels of demand continued through until around 4.30am before returning to levels that we would normally have expected to see.
"The Trust had put in place an extensive plan to deal with the evening with a large number of additional crews, managers and doctors on shift. The planning paid dividends with the Trust able to cope with the significant rise in demand exceptionally well. I would like to thank all of the staff who came in on days off to assist us.”