When a gunshot wound victim arrives, the new chief and Abby butt heads on how to treat the patient. Abby comes to Sam's defense when she goes before a nurses disciplinary board.

It's Halloween night, and the interns continue to be paired with the residents. Gates's teaching methods with Daria, and her responses, belittle Sam. A school fight results in a stabbing and a nose that won't stop bleeding, with Brenner treating the victims and being deeply affected by the truth behind their confrontation. The staff, especially Neela, are enthusiastic about a surprise visitor. Gates gets locked in a maintenance area with a quiet young boy.