I haven't watched ER on a regular basis in quite some time. The season finale and Noah Wylie's last episode was wonderful.
The writers always do a wonderful job with the urgency of the ER. Also, the porch collapse was taken from headlines - I think it happened in the NYC area last summer.
I thought this was a good episode for highlighting the young male doctors, especially Ray. He seems to finally be committed to being a doctor. It definitely was a formal & final 'passing of the baton' to non-original cast members.
I loved the slide show of the pictures of Carter's career. It was great that they paid homage to his mentors in the ER - Greene, Benton, etc. I also loved that his last patient was someone he supposedly brought into the world during his 1st year in the ER. Lovely final touches for the last original featured cast member.