During the tenth season, Pratt was supposedly fired by the frustrated Dr. Romano, whom he had been bumping heads with ever since Romano took over the ER. This was based on bogus allegations that Romano was collecting because of his overall dislike of Dr. Pratt, planning to build them up until he had enough ammunition to get rid of Pratt for good. However, Romano never got to present these findings before the hospital director since he never showed up at the conference (unbeknownst to the others, he had been killed minutes earlier by a helicopter that crashed in the ambulance bay and crushed him). Dr. Anspaugh, correctly assuming that Romano was biased, told Pratt to keep up the good work.