Returning to Station 132, Unit 47, paramedics Shep and Raul, receives a call to a structure fire. They arrive first and discover a meth lab which has exploded. People are fleeing, some of them burned... but children were left behind. Shep enters to rescue them with Raul behind, but neither man has the right equipment. They save the children, and County treats the victims of the fire - one of whom is Raul, who has third degree burns over most of his body. He is going to die and his friends cannot stop that, so they must face it together.

Mark finds himself staffing a very crowded ER on his scheduled night off, filling in while Doug is out with whiplash and Susan meets with her lawyer. He tries to juggle hunger pangs, 40+ patients in the waiting room, and a never-ending stream of traumas.