When a rancher accidentally shoots his own wife, TC, Kenny and Paul try desperately to save her but it's too late. Before TC can come to terms with the loss of his patient, he's sent out to the scene of a crazy teenage ranch party where he performs a risky surgery in order to save the life of a young football star. Back at the hospital, Jordan and Kenny rush to the aid of a beauty queen who has wandered into the emergency room in severe distress but treating her symptoms only leads to further complications. Topher decides he wants to keep the top job and builds the nerve to approach Jordan about it.