A dying sheriff's deputy leaves TC (Eoin Christopher Macken) facing giving him a heart transplant for the second time. Landry's (Daniella Alonso) child abuse investigation produces a startling diagnosis.

Injuries at an Alamo reenactment test the staff. Meanwhile, a disorientated patient suffering from amnesia receives care; Drew helps a severely wounded soldier; Topher schedules a vasectomy operation; and Jordan's boyfriend arrives.

The aftermath of a serious military bus accident threatens to expose the truth about Drew's (Brendan Fehr) relationship with his boyfriend, Rick. TC (Eoin Christopher Macken) and Scott (Scott Wolf) square off over Jordan (Jill Flint).

TC and Topher treat the lone survivor of a plane crash while fending off an intimidating law-enforcement officer with a secret motive. Meanwhile, Paul must deal with an injured exotic dancer whose condition takes a turn for the worse.