Derick Alexander

Un train vient de dérailler. Les blessés affluent à l'hôpital : Un couple empalé par une barre de fer, des patients aux membres sectionnés, deux femmes enceintes sur le point d'accoucher... Les internes sont à la « fête », Mérédith qui attendait Derek dans un bar, a un peu trop bu et ne peut soigner personne. Richard doit reprendre du service et se remettre à opérer.

Brennan is a juror on the case of professional soccer player Peter Kidman, who is accused of murdering his wife. When she uses pure objectivity to help prove the killer not guilty, his best friend and a key witness in the case turns up dead. The Jeffersonian team must work together to prove that the soccer star was in fact guilty of killing both his wife and his friend.

A man accused of murdering his wife realizes he's been given a second chance at correcting past mistakes.