A photo shoot at the station gets John excited. A country doctor helps Roy and John when they can't reach Rampart on a call. The paramedics rescue a man drowning in a swimming pool and two stuntmen trapped on a waterfall at a movie studio.

Johnny and Roy consider trading cars. Dixie takes on hospital management after budget cuts affect her nursing staff. A frat pledge chokes during initiation. The station rescues a woman trapped in her car on the edge of an open drawbridge, and a famous basketball player is involved in a fender bender. Dr. Early has the hiccups.

A woman passed out in a bar is suffering from more than drunkenness. Johnny becomes the victim of a hit and run accident and is a terrible patient. Worse, his replacement Brice annoys everyone at the station. The paramedics help a heart patient and fight a fire in an abandoned building where Roy, Brice, and Marko are trapped.