Meredith and Karev are in an ambulance, trying to keep a newborn infant alive, when the vehicle's engine sputters and dies on a dark, wet road in the middle of nowhere. The ambulance driver leaves on foot to get help while the two doctors work on the infant. A car, not seeing the ambulance in time, smashes into it, scattering the passengers and driver of an entire family across the road. Meredith and Karev are shaken but not seriously hurt, go to help the family. The grandmother of the family dies at the scene while the father is seriously hurt. A teenage daughter, Lily, emerges from the wreckage unscathed, is asked by Meredith to keep the infant's resuscitation bag going while she attends to the other family members. ..Read the full recap
Meredith (opening voiceover): Victims of a sudden impact are some of the hardest to treat. It's not just the collision that injures them, it's everything after. The centrifugal force keeps them moving, tossing them from vehicles, throwing them through wind shields, slamming their internal organs into the skeleton. Their bodies are injured over and over again. So, there's no way to know how much damage has actually been done... Until they stop.
Bailey: Oh, no this is cruel. Her husband is dead, and she has no idea.
Richard: She's sewing a woman's heart back together.
Bailey: Come on. There's gotta be a better way to handle this.
Richard: There's no good way to handle it, Bailey. This is an impossible decision. So you land on the side of what's best for the patient, the one who's still alive. Teddy will understand.
Owen: You think so? (everyone is silent)
Owen: You paged?
Teddy: Yeah, the patient's got a flail mitral valve. The sutures from the patch caught on the valve when we went off of bypass.
Owen: Uh, what can I do?
Teddy: You can tell me where Cristina is. I've been paging her but she won't answer. Damn it. Why won't this hold?
Owen: Okay, you need a resident? I'll get you a resident.
Teddy: No, not a resident. Yang. This is... (sighs) I need another me, and she is the closest thing. Don't tell her I said that.
Owen: She just got out of surgery. She's exhausted.
Teddy: Alright, well splash some water on her fast and get her in here. She can handle it.
Ben: I heard you lost one of your clinical trial patients today, Dr. Bailey. I'm sorry to hear--
Bailey: It wasn't my trial that killed him. The man suffered from Von-Hippel lindou, that's what killed him.
Ben: Well, I wasn't implying that your trial--
Bailey: Let's focus on the living patients, and not the dead ones. Okay?
Teddy: What is she doing up there?
Teddy: Kepner. She's been sitting up there like a gargoyle. I thought there was a big trauma.
Cristina: Oh, yeah. Um, I don't know.
Teddy: Did you get a chance to check on Henry post-op before I pulled you in here?
Cristina: I bet no one wanted her.
Cristina: Kepner. Probably because her voice can peel paint off walls. (imitates April) Charge to 200! Clear! (Teddy laughs) I mean, trauma is stressful enough. Who needs that?
Teddy (laughing): You're-- You're horrible.
Cristina (imitates April): Push 100 of lidocaine! (Teddy laughs) Am I wrong? (Teddy keeps laughing) I'm right. I can tell by your eyes.
Teddy: What's up? You okay?
Cristina: When we brought your husband into the O.R., we originally thought that we could go in with a bronco-scope and a laser, however, there was a lot of bleeding, so we had to open him up.
Teddy: Wait. You-- You wait. No. Owen said that--
Cristina: When we opened him up, we saw that his tumour had eroded his pulmonary artery. Dr. Webber and I both used extraordinary measures...
Teddy: No. No.
Cristina: We used extraordinary measures, but his heart could no tolerate the excessive bleeding.
Teddy: No, no.
Cristina: He did not survive the surgery, I'm sorry.
Teddy: You're saying... (voice breaks) You're saying he's dead.
Teddy: Say it.
Teddy: When you inform the family you have to say it so that they know that it's really happening. It's the first thing that you're taught. I never really thought about it... but now I get it, and um... Cristina... I need you... I need you to say it.
Cristina: Henry is dead.
Teddy: Thank you.
Meredith (closing voiceover): You can't prepare for a sudden impact. You can't brace yourself. It just hits you out of nowhere. And suddenly... the life you knew before is over... forever.