A day's worth of trauma takes its toll on the men and women of the ER. Dr. Greene looks into leaving the ER and joining private practice. Among other events, multiple casualties are brought in when a building collapses. New medical students report for duty, including Dr. Benton's new trainee, the young and inexperienced John Carter.

Dr. Lewis tries to get a mentally disturbed individual admitted to the psych ward. Carter has a difficult day, treating many members of wedding party, suffering from food poisoning. Dr. Ross finally visits Carol, eight weeks after her suicide attempt. Dr. Greene deals with an elderly gentleman having a difficult time letting go of his dying wife. He also discovers that Jenn passed the bar exam.

Carol returns after her eight week absence, finding Doug holding himself responsible. Carter finds himself watching over a mysterious, mentally ill singing woman. Susan clashes with Dr. Kayson over a diagnosis. Dr. Greene treats a domestic violence victim.

A business contractor with a bad heart gathers his family around him in the ER as he prepares for the end. Dr. Ross helps an asthmatic teenage girl when her mother doesn't have the funds. Carter worries that he may have contracted an STD from Liz. Dr. Lewis treats a teenager with alcohol poisoning. Jenn Greene prepares to move to Milwaukee.

Hathaway treats a rape victim. Walt brings Benton's mother to the ER with a sprained ankle. Carter shows his annoyance toward Benton and his stand-offish attitude. Mark calls in sick to spend time with his wife, leaving Doug as a hectic acting chief. Div shows signs of snapping, overreacting at the smallest provocation. The ER gets a new desk clerk, 'Bob'.

A severe blizzard leaves the ER utterly devoid of patients, leaving the staff free to goof off. In the middle of their fun, a call comes from dispatch, informing the ER of a 40-car pile-up with dozens of casualties. The ER goes from being deserted to capacity. All surgeons are called in. Bob surprises everyone with a quick and life-saving decision. A new doctor, Angela Hicks, arrives just at the right time. Ross and Linda return from the Caribbean just as Carol makes a surprise announcement.

Mark, still upset over the loss of Jodi O'Brien, takes the night off but ends up in the ER anyway, albeit an hour late, when the new chief runs a drill at 2:00 a.m. Benton begins to realize his mother's future is not bright. Carter and Deb compete against each other. A small moon coinciding with the naturally heavy Saturday night traffic causes an exciting night.

Susan has her hands full with a pregnant Chloe. Benton goes to dinner with Jeanie. Greene further alienates Swift when he decides to honor a family commitment rather than stay longer at the ER to help him. Carter makes a good impression on Dr. Swift. Doug turns down an offer to "celebrate" with Linda Farrell, instead getting more serious with Diane as he agrees to coach Jake's Little League team.

Mark finds himself manning a very crowded ER on his scheduled night off, filling in while Doug is out with whiplash and Susan meets with her lawyer. He tries to juggle hunger pangs, 40+ patients in the waiting room and a never-ending stream of traumas.

Ricky Abbott returns to the ER. Doug forges papers to allow Joi to treat Ricky at home. Corday decides to back out of the Romano sexual harassment investigation after he threatens to expose her relationship with Benton. Romano is later named Acting Chief of the ER. Dr. Greene treats a Nigerian janitor for back pain and impotency. Carol and the nurses watch a bunch of dogs when their owner is hospitalized. Carter diagnoses a med student with Hodgkin's disease. Kerry initiates a search for her biological parents.

When Anspaugh decides to retire as chief of staff and return to surgery, he appoints Romano as his replacement. Greene expresses reservations about the decision, but Weaver does not support Greene. Romano makes Weaver the new chief of emergency medicine.

Weaver tries to save the life of a rape victim while Corday struggles with feelings of disdain as she is forced to save the rapist. Cleo treats a teenage alcoholic boy whose alcoholic mother refuses to recognize her problem or his.

Kovac witnesses an accident and saves the young victim's life. Carter slowly recovers from his brutal attack and undergoes excruciating physical therapy. Hathaway helps two sexually active 14-year-old girls.

Dr. Kovac's speeding causes a crash on an icy road. The ER staff treats angry elves and a female hockey player with a head injury.