Carter, Pratt, Kovac and Abby are dealing with a woman and her three children who've jumped from a three floor apartment trying to escape from the father. Meanwhile Dr. Lewis becomes Chief of Emergency Medicine, Howard quits his internship and Dr. Corday is facing dismissal.

Neela starts a new job in the emergency room after working at the convenience store near the hospital. On Neela's first day, Pratt expects the interns, Abby, Ray and Neela, to take on a large patient load during their shifts. Pratt turns processing the patients into a competition, in which Ray is clearly going to be the winner.

A rape victim, barely able to speak, does all she can to help police find her attacker.

A wounded police officer's teenage son must make a life or death decision. Abby tries to convince a girl needing appendicitis surgery to stay at County, but her fathers wants her transferred to another hospital.

Abby has a dialysis patient in critical condition, but she cannot find his physician, who does not want to be bothered during the holidays.

Gang members kidnap Abby hoping she can save one of their members with a gunshot wound. Ray starts treating a patient, but when she requests a new doctor, he gets offended.

Two teens enter the ER with gunshot wounds. When one dies, Neela botches telling the next of kin, making the woman hysterical.

While examining a young boy, Pratt finds a suspicious gash across his chest and calls Wendall for a consult. Kovac and Pratt examine a man who was shot when he confronted his boss with a gun. Jake tries to convince Abby to date him despite his being a student.

A soccer mom finds herself completely aware of everything going on around her, but is unable to move or speak after suffering a stroke.

A woman on a hunger strike refuses treatment until the INS give her son another deportation hearing. Abby searches for proof when she suspects a patient is the victim of elder abuse.