As the result of a school shooting, Kovac and Benton care for the gunman and his victims. Abby discovers that Carter has been illegally injecting pain relievers. Greene and Weaver confront Carter about his problem, and Weaver orders him to enter a drug rehabilitation center or leave the hospital permanently.

Chen gives birth, but insists on breastfeeding the infant before she gives it to the adoptive parents. Greene and Corday consult a brain specialist in New York City who believes the tumor can be safely removed. Stressed and tired, Carter impulsively swallows two painkiller pills but intentionally vomits them. He confesses to Abby.

Two teens enter the ER with gunshot wounds. When one dies, Neela botches telling the next of kin, making the woman hysterical.