The 118 responds to debris from a meteor shower crashing into an apartment building and a deadly fire caused by a hazardous waste truck crash inside a tunnel. Meanwhile, Hen struggles with guilt over her ambulance accident, Bobby introduces Eddie to an old friend to help with his anger and Maddie receives an urgent call for help.
Athena's temporary suspension from work had been lifted as of this episode, based on the events of "Athena Begins".
Maddie also returns to work for the first time since her suspension in "Monsters" but she remains in therapy.
Buck mentions that Olivia is the second person to have been hit by a meteor since the 50s. This is a reference to the real-life story of Ann Hodges , who was hit in the thigh by the Sylacauga meteorite on November 30, 1954, while napping on her couch.