A high school classmate of John's is assigned as Squad 51's new paramedic trainee. The firemen rescue a man trapped in his kitchen after a hydrogen sulfide explosion. The paramedics help treat accident victims at the hospital and tend to child at an amusement park. When an intoxicated man turns out to be a snakebite victim, Roy is hit in the eyes with cobra venom. Back at the amusement park, a heart attack victim is trapped high in the air.

Johnny's got another of his "brilliant" ideas: this time he's sure he knows a better way to log the squad's calls than the mountains of paperwork presently required. A diet pill overdose causes a personality change, and the daughter of a man who has suffered a stroke demands a specific hospital - one farther away than Rampart. Firefighters battle an oil fire on a cargo ship.