The members of Emergency Room 24 must deal with chronic lack of manpower, lack of beds, & lack of doctors. Hospitals now often refuse to accept patients leaving ambulances to search for the next hospital in the vicinity. In the fourth season, a bride collapses during her wedding and is whisked away by paramedics. The ambulance then have trouble finding a hospital willing to accept the patient. The condition of the bride worsens, while the groom becomes combative to the paramedic team. The ambulance stops in the middle road and at that time, Dr. Kazuo Shindo steps out of the taxi to assist the ambulance.