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.

Carter fumbles his way through his first look at surgery. Dr. Lewis' nemesis, Dr. Kayson, makes her New Year's Day decidedly unpleasant. Chloe announces she's moving to Texas with her boyfriend.