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.

As the unexpected arctic cold front and ice storm continues to cause havoc in Austin, Owen works to rescue the lives of the stranded migrants; T.K.'s life hangs in the balance and Grace prepares for the birth of her baby.

Owen and the 126 race to emergencies at a fast food drive-thru, a high school wrestling match and a case of road rage - all with one common element tying them together. Meanwhile, Tommy's estranged brother-in-law makes a surprise appearance in Austin, and Marjan confronts Capt. Strand about his anger management issues.