Skirting the ice line to the deepest set of their careers, Josh and Casey apply frontier medicine to a bleeding deck boss. A block wound sidelines Wild Bill's new rail man, while injuries on the Time Bandit take out two crewmen and threaten family bonds.

Captains scramble to meet an expanded quota in the path of a violent system dubbed "Squall-pocalypse". A breakdown on the Wizard puts Monte in debt to the Time Bandit and Josh and Casey exceed their own quota when it comes to injuries on deck.