Station 51 gets their new fire engine, which gets put to use during a junkyard fire. While there, Roy and John buy an older engine they had found there. The paramedics try to help a woman strung out on LSD and have to chase her down to the top of a building when she flees. The base station at Rampart is upgraded with a new transmitter and radio for better management of Squad traffic. Dr. Brackett and Dixie both treat a gunshot victim, who later undergoes surgery, and wants to walk out immediately afterwards. Meanwhile, the paramedics treat a politician suffering from a heart attack, and the station responds to a warehouse fire.

A paramedic from England (who proves to be a hero, and one who had been wounded in the line of duty at that) rides with Roy and John to observe the paramedic program at work, and is present during a fire caused by a molotov cocktail thrown at a policeman, helping a wild-west performer with an injured finger, a traffic accident involving a car loaded with marijuana, and a man trapped in a construction site. During this last rescue, John nearly falls off a scaffold, and the visitor saves his life. A rock singer, who is brought into Rampart, in a diabetic coma complicated by pneumonia, and her manager is more concerned with the money lost than her well being, complicated by a nurse with a bad attitude impacting the patients, leading Dixie to observe a complaint, from the nurse not respecting Dr. Early.