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.
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.
Halloween chaos takes over the E.D. Hannah helps a pregnant woman with an autistic son.
Ripley and Charles treat a high-risk prisoner who may have dementia.
An infection threatens Crockett's risky liver transplant. Maggie and Charles help a struggling burn unit nurse. Goodwin is forced to make a tough decision about Bert's future.