The ER staff's slow snow day becomes chaotically hectic when the casualties of a 40 car traffic accident flood in.

It's Christmas-time and the expected range of emotions is to be found among the ER staffers. Susan Lewis treats a middle-aged woman who is overjoyed at finally getting pregnant. Susan is also shocked to hear that her boyfriend Div Cvetic has quit his job and moved out of his apartment. Mark Greene treats a young drowning victim. Doug Ross takes Greene's advice and decides to tell Carol Hathaway that he loves her; unfortunately he chooses to do so at her engagement party. Peter Benton jumps the gun and arranges for transplant teams to harvest an accident victims organs but the man's wife is now refusing to give consent. Susan's sister Chloe announces that she is pregnant.

Susan Lewis has a run-in with Dr. Jack Kayson, the cardiology attending, when he accuses her of not providing him with all necessary information on a patient who subsequently died. He makes it very clear that Susan will bear all responsibility for his death. Her sister Chloe informs her that she and her boyfriend are moving to Texas. John Carter is still frustrated by Peter Benton's apparent lack of interest in teaching him anything but a new go for it attitude leads to an invitation to assist in a surgical procedure. Benton's sister suggests to him that the time has come for them to put their mother in a care home.

It's a day of birthdays. Peter Benton's mother is celebrating a birthday and he tries desperately to find someone to cover his shift. He makes a choice however when Dr. Hicks suggests that he's been absent too often and may wish to consider a leave of absence until his mother's situation is resolved. Carter thinks it's Benton birthday and has a surprise for him. Mark Greene's daughter is also having a birthday but he misses that due to an emergency at the hospital. An elderly, solitary man in the final stages of cancer arrives in the ER on his birthday. Carol Hathaway suggests to her fiancé that they adopt little Tatiana, the AIDS patient abandoned in the ER. Ross has to deal with a young child who was kicked out of a window.

Carol Hathaway goes ahead with her plans to adopt Tatiana, but her past history makes her ineligible. Benton continues to trade shifts so he can spend time with his mother but it all catches up with him and he has a run-in with Dr. Hicks. Doug Ross treats an abused child. Green, Benton and Carter take extraordinary measures to save a man they later learned had signed a DNR. A consultant arrives to study procedures in the ER, but all is not quite what it seems. Mark Green's wife Jen has an important announcement. Benton's mother has a serious accident when he falls asleep on the couch.

On a fateful Mother's Day, several staffers in the ER face possible life-changing events. Susan Lewis' sister Chloe gives birth to a beautiful - and healthy - baby girl. Things start to go wrong however when their mother Cookie - who had agreed to take in Chloe and the baby - suddenly decides she's done enough and Susan will have to take care of it. Carter turns down an offer for an ER sub-internship in the hopes that he'll get an offer in surgery. Dr. Hicks has news for him however. Benton's mother takes a turn for the worse. Carol Hathaway is overwhelmed with the final preparations as her wedding day approaches.

It's Carter's last day in the ER and finally fed up with Dr. Benton's apparent indifference, rejoices when he learns that he gets to write an appraisal on him. He subsequently regrets his negative input when he gets offered the surgical sub-internship he'd hoped for and learns that Benton gave him a glowing appraisal. He also spends a good part of the day with young leukemia victim who is fed up with life. Benton and Jeanie Boulet's relationship reaches a crossroads. Mark Greene is offered an attending position at the hospital but also learns that he is being sued for malpractice over his handling of the Jodi O'Brien case. The big day for Carol Hathaway and Tag is here but doubts creep in and one of them gets left standing at the altar.

Carter gets his first official patient while Doug treats a four-year-old Asian boy who has AIDS.

The feud between Susan and Weaver gets to the point where Mark has to step in.

Benton has to attend a banquet at Vucelich's home and asks Jeanie to go with him. Mark hesitates to tell Rachel about the divorce.

Rumour has it there's something going on between Mark and Susan while Benton questions Vucelich's study and confronts him.

Benton tries to save someone who, according to the other surgeons, can't be saved while the ER gets crammed with pregnant women.

Carter is very nervous because he's about to get his residency match. Mark changes his look.

Benton dismisses a patient he hasn't seen who should have been admitted. Carter competes with Dale, a new surgical resident-in-training who once slept with Harper.

In order to avoid having to deal with her personal problems regarding little Susie, Susan wholly absorbs herself in her work.

Carter feels guilty about Gant's death. Benton doesn't want to talk about it.

Benton can't keep his mind on the job, Mark and Chuny break up and Carol does what she needs to do regarding the fatal error she has made.

Doug treats a dying 17-year old cystic fibrosis patient who doesn't want to be resuscitated. Carter gets to operate on Benton.

Carol will hear whether her suspension is permanent or not. Mark and Doyle do what they can to get a patient with Down syndrome on a heart transplant list.

Race relations become an issue in the ER when Mark Greene treats two injured teenagers, one black and the other white, and assumes the black kid was a drug dealer. It turns the white kid was the drug dealer and the black kid is a high school basketball star and an innocent bystander. When the black student's older brother confronts him, he begins to question his own impartiality. Carol Hathaway helps a young woman who was drugged with Rohipnol and raped. Benton gets an interesting offer from Dr. Hicks. He also learns that Carla Reece has been admitted to the hospital. Dr. Carter treats a woman with a serious condition but he seems to be the only one who sees it. Mark Greene's daughter ends up spending the day in the ER when her mom has to rush to Florida to deal with a family emergency.

Benton tries to find out if everything's OK with Carla's baby. Carter tries to get a man operated, despite the fact Anspaugh thinks he will die no matter what.

Jeanie asks Greg to help Al get into a special AIDS-program at the hospital. Olbes brings in her grandfather, who had a stroke.

Anspaugh is furious when Carter tells him he wants to quit surgery. Charlie is brought in with an overdose. Mark keeps struggling with his beating.

Carter is excited about getting his own med student, and Mark and Carol interview candidates for the desk clerk position.

Carol will hear whether her suspension is permanent or not. Mark and Doyle do what they can to get a patient with Down syndrome on a heart transplant list.

The ER staff's slow snow day becomes chaotically hectic when the casualties of a 40 car traffic accident flood in.

Benton dismisses a patient he hasn't seen who should have been admitted. Carter competes with Dale, a new surgical resident-in-training who once slept with Harper.