Casey confronts Detective Voight about his harassing tactics, vowing never to back down, and ends up paying the price for his decision. Dawson faces disciplinary action for her on-the-job conduct. Meanwhile, Severide finds his arm failing him during a rescue at a construction accident, and reaches out to Anna, an old flame and pharmaceutical rep, hoping she might be able to help alleviate his injury problems.

Everyone in the firehouse is ordered to take a drug test after a call to a daycare center exposes them to a makeshift meth lab, and Severide stalls, not wanting his injury, or the painkillers he takes, to be discovered. Meanwhile, Truck and Squad find themselves pinned down by gunfire while trying to help the victim of a gang shooting, and a deep-fried turkey fire grows from small to explosive when a garage catches fire. Elsewhere, Dawson saves a bleeding man and Casey delivers a baby on the scene of a massive car pileup on the freeway.