In this episode, Steve, Dan, and Holly discuss calls that are not "black and white," and have forced them to think outside the box. Steve provides Dan and Holly with a case he encountered and has them walk through their decision-making. He then reflects on how he and his crew responded to the scenario. Holly reviews a call she had that presented a variety of challenges and forced her to work in the "gray zone" and defend the clinical decisions she made to her agency and receiving hospital. The team closes by reviewing the importance of critical thinking and its application in the world of emergency medicine.