Now that he has been promoted to Engineer, Roy DeSoto (Kevin Tighe) is faced with the prospect of having to leave the Paramedics program. Meanwhile, a huge pileup on the fog-enshrouded San Diego Freeway results in dozens of seriously injured motorists. Other major crises arise when John (Randolph Mantooth) is trapped by a fire, and when the staff is called away from more pressing matters by a phony suicide alert. ~ Hal Erickson, Rovi