Facing suspension, Dawson gets a hand from the same girl she saved through the procedures that landed her in front of the disciplinary board. Lieutenant Casey finds his fuse shortening as Detective Voight stops at nothing to get him to retract his statement. However, when Casey lays his life on the line during an apartment fire, he may have unknowingly caught the break he was needing.

At the site of a train accident, Peter Mills becomes deeply upset when he observes the dead body of a young victim. Unable to shake his emotional distress about the event, he questions his future as a firefighter. Dawson and Shay save a 6-year-old girl whose mother is abusing her - but their confrontation leads the woman to resort to dire actions. Meanwhile, Severide aggravates his injury while rescuing a heart attack victim and Shay sends Clarice, her married, pregnant ex-girlfriend, back home to her husband.