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At 20,000 feet, the stakes can't get any higher. SKYMED follows the triumphs, heartbreaks and tribulations of budding nurses and pilots flying air ambulances in remote Northern Canada. Weaving together intense character journeys with high-stakes medical rescues, a diverse cast of young medical responders must rely on each other for survival at 20,000 feet in the air.。Steve McGarrett侦探（Alex O"Loughlin扮演）曾经是一位获得过荣誉勋章的海军军官，退役后当上了警察。为了调查父亲的谋杀案，他返回了家乡瓦胡岛（夏威夷群岛的主岛）。夏威夷州长认为Steve是个难得的人才，执意挽留他在岛上工作。她想让Steve组建一支专门负责调查重案的精英团队－－规矩由他来定，她在幕后提供支援。这支命名为「Five-0」（50）的团队不走过场，不玩花样，只要能抓住岛上最大的匪帮首领，他们就算是把天弄塌了也没事。。