A man, Vincent, takes a young girl, Sydney, out of a restaurant but the police pull up and corner him. He shoots at them using the girl as a human shield. He gets shot in the head and she's shot in the stomach.
Victor rallies the ER. He wants to bring them into the 21st century by purchasing new equipment and technology.
Neela is dressed up because Michael is coming home from Iraq. Everyone comments on how great she looks.
Vincent and Sydney are brought into the ER. Abby quickly finds out that Sydney is a kidnapping victim.
Greg and Luka work on the cop who Vincent shot. He can't move his hand and is bleeding everywhere from a severed artery. They end up saving his arm, though, and he makes it out fine.
Abby tells Sydney they need to check between her legs. They see multiple injuries to her lower regions and find out that Vincent sexually abuses her. Abby speaks to Sydney's mom and tells her she was shot but she's doing well. Abby puts her on the phone and Sydney starts crying.
Victor comes to help with Sydney but Abby gets Luka to watch and ensure that what Victor is doing is correct. Luka ends up butting heads with Victor. Meanwhile, Sydney starts to lose consciousness so Abby screams for Luka. She waited because of Victor's advice and Luka berates her for it.
They open Sydney up and find massive internal bleeding. Luka is furious at Victor for screwing this one up. Sydney winds up dying but Victor continues to try and save her until Luka and Abby tell him to stop. It's futile. He's lost her.
EMT Tony Gates (John Stamos) brings Vincent into the emergency room. Vincent wakes up suddenly and violently attacks Neela and Luka. They sedate him before one of the police officers shoots him.
Vincent says he wants to see Sydney. He says she needs him. Lucien assists Neela and they work on Vincent's bullet wounds. Neela gets a call from Iraq but she can't take it because she's in the middle of the surgery. Lucien saves Vincent and Neela is impressed.
Tony the EMT asks Neela about the girl and Vincent. He then asks Neela out. He tells her he's in medical school but she declines because she's still waiting on Michael. Neela calls the Iraq number back but she's interrupted by Zoe's father. He brings Zoe into the ER, demanding to know why she's been given prescription drugs. Neela tells him nothing. Ray tries to intervene but Neela says that if he tells the truth, he'll go to jail.
Neela finally gets through to the base in Iraq. She's told there's bad news but the phone breaks up before she gets the details. Michael isn't injured, but he can't come home because of the problems. Michael's leave is postponed.
Victor and Luka square off in front of the whole ER. Victor's nose starts to bleed and Luka rushes off. Abby helps Victor out and cleans him up. He tells her he's sorry about Sydney.
Neela and Ray leave the hospital and Zoe's dad beats the crap out of Ray. He tells him that if he ever touches Zoe again, he'll kill him.
Abby leaves the hospital and goes to Luka's. She yells at Luka because he and Victor put her in the middle and a little girl died because of it. Abby breaks down thinking about it and Luka kisses her.