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Lenox continues to rankle Archer as the two tackle their new roles; Ripley faces possible suspension over what really happened to Pawel; Goodwin is forced to make layoffs.
When a commuter ship capsizes, the ED finds itself under water as the staff struggles to treat the influx of new patients and deal with bold new employees taking charge.
Hannah treats a woman whose undiagnosed condition threatens the lives of both her and her unborn child. Goodwin receives a chilling message while battling the hospital higher-ups.