The 118 responds to debris from a meteor shower crashing into an apartment building and a deadly fire caused by a hazardous waste truck crash inside a tunnel. Meanwhile, Hen struggles with guilt over her ambulance accident, Bobby introduces Eddie to an old friend to help with his anger and Maddie receives an urgent call for help.

Holiday-themed incidents include a shopper pushed over the edge, a woman who is literally having a "Blue Christmas" and a luggage handler accident on a tarmac; Maddie revisits her past to embrace her future; Bobby receives shocking news.