As the unexpected arctic cold front and ice storm continues to cause havoc in Austin, Tommy, T.K. and Gillian race to rescue a young boy who has fallen in a frozen pond. Judd and Mateo work furiously to help a trapped Paul, and Owen takes drastic measures to save a man who has been stabbed and left for dead.

TK gets a huge surprise on his 30th birthday when his stepdad Enzo arrives in Austin along with TK's young half-brother Jonah; Owen's resentment of Enzo turns physical; Tommy is determined to push through her latest crisis; Wyatt attempts to talk-down a suicidal caller and the 126 must perform a dangerous surgery in the field after a man is impaled in a tree.

Judd literally walks into the line of fire when an armory catches on fire, sending bullets flying everywhere. Owen questions Judd's pledge of sobriety. Marjan introduces boyfriend Joe to her parents, Waleed and Nasreen, but their dinner doesn't go as smoothly as she hoped.