The 118 responds to debris from a meteor shower crashing into an apartment building and a deadly fire caused by a hazardous waste truck crash inside a tunnel. Meanwhile, Hen struggles with guilt over her ambulance accident, Bobby introduces Eddie to an old friend to help with his anger and Maddie receives an urgent call for help.

Athena and the 118 race to save lives after a drunk driver causes a deadly pile-up on the freeway. Meanwhile, Maddie goes into labor and Hen and Karen are devastated as they prepare their foster daughter, Nia, to be reunited with her birth mother.