The staff of Pittsburgh's Trauma Medical Center work around the clock to save lives in an overcrowded and underfunded emergency department.

After a violent animal attack, paranoia spreads through Spiral Creek. But when Deputy Ren Accord gets too close, his son vanishes, and reality begins to fracture.

A young Abigale Archer is left friendless and alone in a brutal Montana winter during the 1870s—fighting for survival and to retrieve her one earthly possession, her family’s horse, from a gang of bloodthirsty bandits.