The grand opening of Chicago Med's emergency department is interrupted by victims of an elevated train crash, pushing the staff to their limits.

Dr. Rhodes must confront his past when he treats a close family friend who's been impaled by glass in a case that reunites him with his sister. Meanwhile, a musician must decide to undergo surgery that will save her life but could destroy her hearing.

The doctors treat victims of a movie-theater shooting as Sharon Goodwin tries to keep the press at bay. A teen with an eating disorder is treated, but Dr. Charles' methods rub others the wrong way. The staffers deal with a racist patient.

A member of Firehouse 51 clings to life and takes a sudden turn for the worse as medical staffers race to give treatment. Meanwhile, Dr. Natalie Manning prepares for her pregnancy and members of Chicago P.D. probe the case of a woman pulled from a fire.

The crossover starts on Chicago Fire S04E10 The Beating Heart (I). It continues on Chicago P.D. S03E10 Now I'm God (III).

Dark family secrets emerge when Dr. Rhodes' father is honored for making a large donation to the hospital. Meanwhile, the Department of Homeland Security arrives when two injured airplane stowaways are brought to the hospital and Dr. Sarah Reese must deliver heartbreaking news to a boy.

Dr. Halstead jeopardizes his career when he goes against a family's order regarding a terminally ill cancer patient. Meanwhile, April and Dr. Reese treat a homeless man, and Choi's personal issues emerge while caring for a bipolar patient.

Dr. Rhodes begins a fellowship in cardiothoracic surgery, only to have problems with his new boss. Dr. Choi is the new chief resident. Dr. Charles approaches Sarah with an interesting opportunity that catches her off-guard. April faces her recently discovered illness.

Dr. Rhodes convinces Dr. Latham to join him for a medical trip out of town. Dr. Manning treats an 8 year-old cancer patient who wants to give up on his battle. Elsewhere, an unhealthy woman with heart problems is brought in and doesn't want to listen to doctors. Meanwhile, Dr. Choi, Dr. Charles and Dr. Reese work on a complicated case involving a woman with a personality disorder.