Columbus, Ohio, the fifteenth largest city in America, is the home to Grant Medical Center, a Level-One trauma center that serves the city and 47 surrounding counties. As a result of Grant's large patient base, the staff is equipped to deal with both inner city tragedy and rural catastrophe at a moment's notice. In this episode, the medical staff tackles a number of traumas and urgent cases that need close and immediate attention, including: a man with a piece of wood impaled in his nose; a young man who was ejected from his vehicle in a high-speed roll-over accident; a stroke victim; a woman whose bladder is ruptured after being run over by her mother's car; a car refinisher who was electrocuted while on the job; and a hockey player who was injured during a rough game.