Roy and John finally get their old fire engine restored (from Season 3's "The Old Engine") to ride in the California Firefighters Parade. The paramedics try to stop a man from driving with heart problems and causes an accident which kills him, the woman he hit blames herself for his death. Dixie and Dr. Early assists a man having a seizure resulting from hypertension in the ER, while Roy & John help a man having trouble breathing while on a date; he accidentally drank a Mickey meant for his date, two divorced parents fight over their child's medical condition, this leads Dr. Brackett into seeking help from them. Dixie takes care of the child's wrist. En route to the parade, John & Roy notice a fire and are the first responders, in the old fire engine.
—Gary Richard Collins II (brothergaryii@gmail.com)