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New characters arrive in the form of medical student Neela Rasgotra, hapless Resident Archie Morris, and Nurse Samantha Taggart filling the void left by Abby who returns to medical school.
Romano was in the ambulance bay and the chopper lands on him, inflicting fatal injuries.
Also, Kovač enjoys Thanksgiving dinner with Sam and her son Alex.
Carter, however, learns that the rebels mistook Kovač for a priest and left him alive, and he arranges for Kovač's return to Chicago while volunteering to stay himself.
Abby's frustrating day starts with an awful round of managing triage and gets worse when she gets a special "Dear John" letter from Carter in the Congo while her fellow nurses threaten a walkout and her opinions are ignored.
Meanwhile, Gallant must gamble with a risky hospital transfer to help a young septic cancer patient, Romano lets Pratt know he's out to wreck his career as soon as he enough information to do so, Chen gets bad news from China about her parents, and a young prison inmate is brought in for treatment and receives a worst-case diagnosis.
A Thanksgiving helicopter tragedy high above the ER has the County staff racing to aid the survivors.
A whole nursing shift cannot go home until they find one missing Valium.
Luka weighs his plans for the future: Chicago or the Congo.
Romano's mood gets nastier when he is fitted with an antiquated hook for his missing arm.