The ER quickly fills up after a heavy storm causes a devastating helicopter crash. Conrad, Devon, and the rest of the Chastain doctors rush to treat patients including the helicopter pilot, a barista, and Chastain's least favorite person, Governor Mark Betz. Then, Conrad is pulled away from celebrating Gigi's 6th birthday when Sammie comes into Chastain with a 104-degree fever, and Kit must call in a favor for treatment. Meanwhile, a heart arrives for Governor Betz's transplant surgery.