The 118 are called to the tarmac when a flight attendant reaches her limit with her flight's passengers. Athena discovers that quarantine has pushed a couple to their breaking point. Meanwhile, Eddie worries Christopher will not accept him dating, Buck reconnects with an old flame and finds himself in the middle of Albert's new relationship and Maddie and Chimney make a big decision about their baby.

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.