Paramedic Anneliese Ashmore's routine shift takes a startling turn when she answers the call she was never meant to hear - a call to a crime scene where her sister, Sydney, is the victim of an apparent overdose suicide. The evidence says otherwise. In the midst of a heated divorce, motive implicates Sydney's soon-to-be ex-husband. While the police focus on the single lead, Ana makes her own discovery.
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A body washes up during the spring thaw with no definitive signs of drowning. Another turns up in a fire, deceased but not burned. Both victims have the identical injection marks that were the hallmark of the medical murders from one year ago, leading Sergeant Mike Richardson to believe this is the work of someone connected to the original case; but who?