In the seventh hour of the shift, the ER at Pittsburgh Trauma Medical reaches a series of breaking points. Robby manages the fallout from the Wheeler family confrontation while quietly unraveling on the anniversary of his mentor's COVID death, a tension that surfaces in a direct clash with Collins. Mohan catches a mercury poisoning case nearly misdiagnosed as first-break schizophrenia, a STEMI patient survives only through ECMO, and the comatose Good Samaritan from the pilot wakes up to confirm that Minu was deliberately pushed onto the tracks. The Dunn case turns when the wife admits to drugging her husband over suspected abuse, and Santos, unable to act through legal channels, confronts the intubated patient directly. Collins persuades a mother to consent to her daughter's abortion, then discovers she is miscarrying — alone, in the same bathroo ...