The night shift crew is put to the test when a teenage couple and a young mom land in the emergency room after a serious car crash. Topher (Ken Leung), TC (Eoin Macken), Jordan (Jill Flint) and Scott (guest star Scott Wolf) tend to the youngsters, who were returning from their secret wedding. As the girl's condition worsens, TC tries in vein to calm her distraught father. Jordan and Gwen (guest star Merle Dandridge) tend to the other victim, a young pregnant woman whose fiance is deployed in Afghanistan. The team hastily arranges a proxy wedding so that she can be married before delivering the baby through an emergency caesarian section. Meanwhile, Paul (Robert Bailey Jr.) tends to a wealthy, eccentric hospital benefactor who teaches him it's ok to follow his heart.
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