Moretti reassigns Gates back to the ER and treats a couple involved in a car accident. Morris prepares to take his written board exams. Neela is assigned a young genius intern. Kovac plans to extend his stay in Croatia while Abby struggles with single parenthood.

Morris and Pratt cram for their medical boards when Morretti brings in a new attending physician to help with the load. Sam and Abby work on an attention-hungry patient who comes into the ER with elusive symptoms.

A power outage strikes on an unusually hot day, bringing nursing home patients suffering from hyperthermia to the ER. Abby and Pratt disagree about diagnostic tests for a fussy baby. Morris and Pratt get their board results, and the ER staff celebrates at Ike's. Moretti and Abby's interactions intensify, and Abby finds herself at a dark and frightening crossroads.

Everyone at the ER is happily surprised to see Luka back from Croatia. Great news awaits Neela. Sarah once again needs rescuing by Tony, and patients are causing problems for Morris.

ER's 300th episode finds Luka and Abby hurriedly preparing to travel to Croatia after Luka's father passes away. Luka confronts Abby about the estrangement between them, and she eventually reaches out and asks for his help. A man rushes to the ER when his wife is seriously injured in a car accident, and finds someone very unexpected there with her. Julia holds a service to bless the ER and remember the patients that have been lost through the years.

Abby is back from rehab and finds herself the object of scrutiny. She confesses to Pratt that Luka might stay in Croatia longer than planned. Harold seems to have won over Neela's cousin. Multiple victims from a fire fill the ER.

Neela's short visit in Ortho turns into a game of hockey. Bettina wants to take her relationship with Pratt to the next level, but Pratt is not keen on the idea. Gates and Sam disagree over a patient. Julia provides some spiritual guidance in order to ease a prison doctor's bad conscience.