A code black at Angels Memorial takes a turn for the worse when a city- wide blackout leaves the hospital without power or back-up generators. As Campbell and Leanne divert high-risk patients to a nearby care center, Elliot and Heather are trapped in an elevator with a woman in labor, and Willis and Dr. Nolan try to help a 92-year-old woman who thinks it’s 1942.
A drug bust-turned-shootout tests the bravery of the doctors of Angels Memorial as they race to save a girl caught in the crossfire. Also, Willis shifts his focus to field medicine, choosing to work primarily on an ambulance with his new partner, paramedic Rox. And Leanne begins her journey to adopt Ariel.
Rox decides to make amends with her former step coach when she arrives to Angels Memorial with the local high school step team after a pyramid stunt goes wrong. Also, Noa pleads with Leanne and Campbell to try any other method before performing an emergency hysterectomy on a young teenage girl experiencing complications after giving birth.
Elliot fears the worst after hearing the emotional testimony by Detective Gomez’s wife at his malpractice trial, but hopes footage Diego shot for his documentary will change her mind. Also, Rox attempts to connect with Willis but he pushes her away, and Leanne attempts to comfort Ariel in the wake of a devastating loss.
Willis continues to tend to Rox’s medical needs in San Diego and Leanne and Max’s father go searching for Ariel. Also, when Noa reveals to Mario she wants to take a job offer in Philadelphia, and Campbell offers Mario the attending position at Angels, they realize their career choices will mean ending their relationship.