A man is injured when his chimney explodes. A brash young intern at Rampart thinks he knows more than the paramedics and makes a near-fatal diagnosis of a heart patient; Dr. Brackett send him on a ride-along with Squad 51. A girl gets her hand stuck in a mailbox. Johnny and Roy must rescue a heart attack victim trapped on an oil refinery tower — in the midst of an explosive structure fire.

A surprise birthday party is planned for Dixie. A woman is thrown from a motorcycle into a cactus patch. A man is trapped in his new sauna. Dixie breaks hear ankle and suffers a concussion from kicking a shopping cart. Two men are injured attempting to mount a sign on a building. An old woman refuses to leave her apartment during a gas leak and the building explodes with Johnny inside.

The station (sans Roy) enters the fireman's barber shop quartet contest. A man keeps having to be rescued while trying various ways to exercise. A woman overdoses on sleeping pills.

A temporary captain from 'the old school' doesn't feel Gage and DeSoto should be practicing 'medicine', and has no problem in expressing his opinion. An elderly man sets his chair on fire. Dr. Early keeps coming up with oranges when all he wants is an apple. The paramedics struggle to save a heart attack victim. A boy with asthma gets trapped in a storm drain. Dr. Brackett uses an old-fashioned sedative on a biker. Chemicals complicate a structure fire.

John agrees that the losing baseball team at the fireman's picnic will pay for the picnic. Chet becomes Station 51's only hope when their pitcher breaks his arm. A drunk driver becomes violent after crashing his car; another man is trapped in a car with a tiger. A man with a back problem must be extricated from his water bed. A structure fire is complicated by moonshine.

Paramedics respond to a two car accident, treat a man who fell while bathing, rescue a child trapped in a burning structure and help a drunk in a hotel without a working elevator. The doctors deal with a child who has meningitis. A woman's stomach problems nearly lead to mayhem in her family.

Roy and Johnny rescue a diver. Rampart treats a boy who got a severe stomach ache from eating raw dough, while the paramedics rescue a diver from a tank, and treat a mother/daughter pair: the mother has a heart attack and the stress causes her daughter to go into labor. A fallen electrical wire nearly ends Captain Stanley's career.