When a routine 911 call turns deadly, paramedic Sara Dyer finds herself held at gunpoint by injured prison inmate, Jason Keegan. The situation rapidly spirals out of Sara's control when the confrontation becomes a tense standoff between Keegan and the Royal Cayman Islands Police Service. As her patient's hostage, Sara fights to save them both before Keegan blows them up. She realizes his warning to the Cayman police is no empty threat since he'd rather die than spend the rest of his life in a prison cell. Sara soon discovers Keegan is just as determined to survive as she is--provided he can escape Grand Cayman and disappear forever. As she struggles to trust in God's protection, help from an atheist turns her struggle into a lure away from her faith.