Neela's aortic rupture patient is in need of yet another follow up surgery, and they are starting to take a toll on her. Morris talks with a shrink about his experience with the jewelery thieves. Abby needs to make a tough decision when a new opportunity is presented to her.

The 15th and final season of ER begins with the devastating repercussions of the ambulance explosion. As Morris and Neela do everything they can to save a wounded colleague, Abby treats a young girl injured during the blast.

Abby's first day as an attending is bittersweet. Neela is hurt when she finds out Abby's news from someone else. Abby and the new ER Chief argue over how to treat a gunshot victim. Abby comes to Sam's aid when she faces a nurses' disciplinary board.

A package for Morris from his deceased father is delivered to the ER. Sam has some anxiety over Alex being removed from the ventilator. A woman with a high-risk pregnancy worries that she will be deported. An old friend returns to celebrate the holidays.