One hundred miles northeast of New York City on the Long Island Sound lies the busy port city of New Haven, Connecticut. Home to one of the most prestigious colleges in the world, Yale University, it is a city of contrasts — from centuries-old, abandoned industrial plants to gleaming high-tech office towers, to poverty-stricken inner city neighborhoods, to the stately homes surrounding Yale. Serving the urban, suburban and rural communities, the E.R. team at Yale-New Haven Hospital faces such trauma cases as multiple car crashes, farm equipment accidents and inner city gangland shootings nearly every day. In this episode, the team treats: a man who jumps out of a third story window to escape a fire; a young woman who has been struck by a hit-and-run driver; a smoke-inhalation patient whose condition suddenly becomes life-threatening; a teenager hit by a car and thrown off his bike; an elderly woman with a neck laceration; and a construction worker who has become paralyzed after being struck by a 7,000-pound steel beam.