Overview

• An active shooter at PittFest results in a mass casualty event, with Pittsburgh Trauma Medical Center receiving the majority of critical patients.
• Dr. Robby informs the already exhausted staff to implement emergency protocols and prepare for an overwhelming number of victims.
• The episode unfolds in real-time, intensifying the urgency as the medical team manages the crisis under extreme pressure.
• Personal stakes are heightened with Dr. Robby's surrogate stepson, Jake, confirmed to be at PittFest during the incident.
• The episode builds on ongoing character arcs, including David's troubling behavior and Dr. Collins' personal revelations, setting the stage for the season finale.