Johnny makes a bet with Squad 36 that the loser of their baseball game at the firemen's picnic pays for the entire picnic, which angers the firehouse until Chet becomes their pitcher after their regular pitcher breaks his arm. In rescuing a drunk man from a car accident, the man punches Johnny in the nose; he then throws a witty remark to Dixie, who herself, reveals, threw one at an unruly man. When two more people come into the ER with the same symptoms, the cause is traced to lead poisoning from moonshine; later the man making the illegal brew sets fire to the place and the firefighters have to rescue him. The firefighters also save a famous car dealer trapped inside one of his cars with a tiger while filming a commercial and a man with back problems stuck in his waterbed.

Two young men dump off a female OD victim at the ER, then run away; further examination showed she was injected with milk. John gets upset at all the non-emergency calls they get, then sees a man falsifying a back injury for a free ride to the hospital. The paramedics help an ex-Los Angeles Rams player who kicked his TV screen when his old team blew a close game and received an electrical shock. The ER is being visited by administrators, during which time Dixie is swamped with so many issues, including a woman who complains about waiting two hours with a cigarette burn. Roy and John respond to a non-emergency while another squad 15 minutes away is called to a cardiac victim from which Squad 51 is only two minutes away–after responding to the cardiac case the paramedics are involved in a traffic accident in the ambulance en route to Rampart. With no replacement ambulance available for 15 minutes, Engine 51 comes to the rescue to transport the patient who then goes into full cardiac arrest. He is brought into Rampart and, with its hospital administrators looking on, doctors frantically try to save the patient's life.