A woman passed out in a bar is suffering from more than drunkenness. Johnny becomes the victim of a hit and run accident and is a terrible patient. Worse, his replacement Brice annoys everyone at the station. The paramedics help a heart patient and fight a fire in an abandoned building where Roy, Brice, and Marko are trapped.

Captain Stanley is dismayed when he learns one of his former commanding captains is now his Battalion Chief, causing the others to worry about his increased paranoia. Two men's carelessness starts a fire at a gas station. A new hospital administrator causes problems. A woman accidentally shoots her husband with a nail gun. Two clowns start a fight at an ice rink. A car leaves an overpass and crashes into a transfer truck filled with pesticides.

When Johnny and Roy are promoted to Captain, they reminisce about their years working together. Flash-back sequences include the rescue of airplane passengers after a crash-landing, a potential suicide threatening to leap from a crane tower, and a girl whose toe is stuck in a faucet