In Fresno, California, the neighborhoods are small-town friendly, the people display a patriotic spirit and the city exudes a strong sense of the western frontier. Yet, even in the midst of such American beauty, dreams are often broken and worlds can be changed in an instant. When unexpected dangers threaten lives, the surgeons and emergency physicians at University Medical Center make brave decisions at every turn. In this episode, they diagnose and treat injured and ill patients in the valley, including: a 44-year old former stuntman injured in a bike accident; a 22-year-old man stabbed by an assailant; an elderly women involved in a car crash; a man with a stubbornly dislocated jaw; and a young man who's been severely burned in a camping accident.