A bus filled with high school football players is in a terrible crash and the team at Three Rivers works to save the young men's lives. When one young player is pronounced brain dead his parents have to make the heartbreaking decision whether to donate his organs. Andy and Ryan work against the clock to find a procurement team to give a man a second chance at life with heart transplant he has been waiting so long for and the team knows that time is running out. They are so swamped at Three Rivers that they have no one to make the procurement. Finally Ryan figures out a way to get the heart to Three Rivers. Miranda is sent to the scene of the crash to help a kid with a massive head injury. Jordan keeps everything under control in this insane triage situation.