The emergency room is flooded with patients from an annual Alamo reenactment. TC, Jordan and Kenny deal with a critically wounded patient who is disoriented and suffering from amnesia. The patient is also wearing a bracelet indicating he declines medical treatment, putting Jordan in a professional bind with Ragosa. Meanwhile, Drew must keep a severely wounded soldier alive while being miles away from help. Back at the hospital, Ragosa helps himself to aspirin in Landry's office but soon realizes he has taken something very different. Topher schedules a vasectomy operation and the staff can't resist the temptation to tease him at every turn. Jordan's long-distance boyfriend Scott, surprises her with a visit to the hospital.

Drew is looking forward to the return of his boyfriend Rick from his overseas deployment but things go terribly wrong as a horrific crash sends badly wounded soldiers, including Rick, into the emergency room. Drew struggles to keep his relationship under wraps with TC's help, as they both try to save Rick. TC and Scott argue over who is in charge and Jordan realizes she has to deal with some unresolved feelings for TC. Topher struggles to diagnose a soldiers illness as Krista fends off the flirtations of young soldiers in the emergency room, and Paul must contend with their good-natured teasing because he looks so young. Kenny discovers Ragosa's online dating profile and offers to help fix it up.