The members of the 118 rush to the site of a hit-and-run that leaves a familiar face in critical condition. Meanwhile, with Buck's help, Athena investigates the case of a missing woman last seen in a casino and Josh recalls an emergency in 2006 that led him to become a 9-1-1 operator.

The members of the 118 make calls to save a bridezilla at a disastrous wedding and to a mother trapped on her balcony. Meanwhile, Hen plays medical detective when her mother, Toni, falls ill. Also, Eddie and Christopher receive a visit from Carla, Athena uncovers a secret Bobby has been hiding that puts their marriage on the rocks and Maddie struggles with adjusting to motherhood.