John and Roy rescue a man whose engine fell on him, however, when the radio in the ambulance is broken, Roy treats him without medical authorization. Later, when the patient dies from his injuries (not from Roy's actions), his doctor excoriates Roy, and the entire paramedic program, which disgusts Dr. Brackett and Dixie, especially after a doctor dies from a heart attack despite, all their efforts, and Roy considers quitting Squad 51, Dixie chokes down of Roy's decision.