Judd is shocked at the latest victim of an emergency call, Grace and Carlos must save a woman literally trapped in a domestic abuse situation and the 126 arrive at a horrific highway crash that threatens the lives of a father and daughter. Meanwhile, Owen and Gwyneth face a difficult decision in their relationship and Mateo regrets his new tattoo.

The 126 arrive at a funeral where another dead body has crashed the burial, and then to a hospital where an MRI has gone haywire. Owen and Tommy each feel displaced in their homes as Gwyn moves into the Strand household and Charles seemingly becomes the full-time parent in the Vegas'. Meanwhile, T.K. makes waves in his new position.