At the site of a train accident, Peter Mills becomes deeply upset when he observes the dead body of a young victim. Unable to shake his emotional distress about the event, he questions his future as a firefighter. Dawson and Shay save a 6-year-old girl whose mother is abusing her - but their confrontation leads the woman to resort to dire actions. Meanwhile, Severide aggravates his injury while rescuing a heart attack victim and Shay sends Clarice, her married, pregnant ex-girlfriend, back home to her husband.
No job is more stressful, dangerous or exhilarating than those of the Firefighters, Rescue Squad and Paramedics of Chicago Firehouse 51. These are the courageous men and women who forge headfirst into danger when everyone else is running the other way. But the enormous responsibilities of the job also take a personal toll.
With big reputations and hefty egos, the pressure to perform and make split-second decisions is bound to put squad members at odds. When a tragedy claims one of their own, there's plenty of guilt and blame to go around. In the middle of a divorce, Lt. Matthew Casey tries to go about business as usual, but can't help butting heads with the brash Lt. Kelly Severide of the Rescue Squad - and each blames the other for their fallen team member. When it's "go-time", though, they put their differences aside and put everything on the line for each other. This is a look inside one of America's noblest professions.