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Grey's Anatomy: Crash Into Me (1)

Meredith and the Chief rush to the scene of a devastating ambulance crash in which the lives of the paramedics are at stake. Bailey treats a difficult patient and Ava returns to find Alex with a new girlfriend.

Episode Info

Episode number: 4x9
Production Number: 409
Airdate: Thursday November 22nd, 2007

Alternate Airdates:

FI (Nelonen) Apr 23, 2008
NL (Net 5) Sep 22, 2008
UK (sky LIVING) Nov 13, 2008

  • Currently 7.9/10
7.9/10 (9 Votes cast)


Guest Stars
Alison La Placa
As Mrs. Nolston (Wife of Patient Jacob Nolston)
Cress Williams
As Tucker Bailey (Dr. Miranda Bailey's Husband)
Elizabeth Reaser
As Ava/Rebecca Pope (Former Patient of Alex's, Had Amnesia)
Gale Harold
As Shane (Patient: Paramedic, Swastika Tattoo)
John Billingsley
As Jacob Nolston (Patient: Complications Post-Surgery)
Kimberly Huie
As Mary Daltrey (Patient: Paramedic, Seizure While Driving)
Lauren Stamile
As Nurse Rose
Seth Green
As Nick Hanscom (Patient: Tumour Removed From Neck)
Theo Rossi
As Stan Giamatti (Patient: Paramedic Trapped in Vehicle)

Co-Guest Stars
Candice Afia
As Intern Laura
Crystal Kwon
As Nurse Jolene
Emma Prescott
As Lucy (Daughter of Patient Jacob Nolston)
Joseph Williamson
As Intern Pierce
Joy Osmanski
As Intern Lucy
Linda Klein
As Nurse Linda
Mark Saul
As Intern Steve
Parker Goris
As Garrett (Son of Patient Jacob Nolston)
Ray Ford
As Ray the Paramedic (Patient: Paramedic Trapped in Vehicle)
Shanelle Gray
As Sara (Wife of Patient Stan Giamatti)
Suzi Holrichter
As Sandra (Daughter of Patient Jacob Nolston)
Nick Hoffa
As Firefighter #2
Roger Bridges
As Firefighter
Main Cast
Ellen Pompeo
As Dr. Meredith Grey
Justin Chambers
As Dr. Alex Karev
Patrick Dempsey
As Dr. Derek Shepherd
Chandra Wilson
As Dr. Miranda Bailey
James Pickens, Jr.
As Dr. Richard Webber
Sara Ramirez
As Dr. Calliope "Callie" Torres
Brooke Smith
As Dr. Erica Hahn
Chyler Leigh
As Dr. Lexie Grey
Eric Dane
As Dr. Mark Sloan
T.R. Knight
As Dr. George O'Malley
Sandra Oh
As Dr. Cristina Yang
Katherine Heigl
As Dr. Isobel "Izzie" Stevens
Episode Notes
Ratings: 14.11 Million Viewers

Narration: This episode does not have a closing voiceover.

ArtistSong TitlePlayed When
Ben's BrotherLet Me OutMeredith and Webber Talk to EMTs in Ambulance
The Cake SaleSome Surprise (Gary Lightbody and Lisa Hannigan)Alex Sees Ava Walk Up and Excuses Himself
CorreatownAll The World (I Tell Myself)One of the EMTs Die, Cristina and Bailey Talk
Missy HigginsWhere I StoodEMT's Wife Kneeling by the Ambulance, Talking
Roisin MurphyMovie StarOpening Scenes, Seattle, Cristina Dancing
SoulsaversRevivalSurviving EMT Upset, Webber and Meredith Calm Him

Episode Quotes
Meredith: (opening voiceover) We go into medicine because we want to save lives. We go into medicine because we want to do good. We go into medicine for the rush. For the high, for the ride. But what we remember at the end of most days are the loses… what we lay awake at night replaying is: the pain we caused or failed to cure; the lives we ruined or failed to save. So the experience of practising medicine rarely resembles the goal. The experience too often is ass backwards and upside down.

Izzie: I'm going to go in early. I'm going to get on hard-core, Erica-Hahn cardio and I'm gonna kick ass at it. And when I kick ass at cardio, it's going to piss Cristina off, but it won't matter, because I'll be a kick-ass cardio god.

Nick: They look scared.
Sloan: They're medical professionals. A healthy level of fear is encouraged.
Nick: OK, then. Uh, if I do die, it would have been lovely meeting you all.
Dr. Sloan: See, the patient is confident, you should be confident.

Dr. Bailey: I´m rising above, I´m rising above and do not want to be crossed while I´m busy rising.

Dr. Hahn: Can you make time?
Mark: Can you make time for a drink with me after?
Dr. Hahn: Did I mention time is a factor here? I'm looking for a yes or no answer.
Mark: As am I.
Dr. Hahn: This may be enjoyable to you, Dr. Sloan, but I have a patient in serious condition. I came to you, because legend has it, that you're the best in plastics. But if bad jokes and sleazy come ons or whatever are meant for all afternoon, I'll page Webber, second best.
Mark: Dr. Hahn, I apologize. And I'll clear my schedule.
Dr. Hahn: Thank you. OR 1.

Dr Hahn: What are we, on a date here? I was complimenting your surgical skills, Dr. Sloan. Not looking through a window into your wounded soul.

Webber: Look at me. This day, this day you feel helpless. This day makes all those other days when you fight to save a life and lose. This day makes you grateful you have a chance to do anything at all. You take it in.

Nick: How am I doing?
Lexie: Strong and stable.
Nick: Strong and stable? Two words that have never been used to describe me. Ever.

Webber: Stan, you're a hero, man. You saved Ray's life.
Ray: Stan? Stan? Stan? Damn it, Stan! Stan!

Hahn: I'm sure whatever you're talking about is endlessly exciting but I kind of had my mind set on saving a life today.
Alex: Sorry.

Bailey: Someone will be here soon to save the master race from extinction.

Episode Goofs
Factual Error:

Marks says he left to go to New York to study under a pre-eminent surgeon after he left Columbia. Columbia University is in New York City already.


Stan's name tag before the accident shows "S. Hayden", but later in the episode his name is changed to "S. Giamatti."

Cultural References
Episode Title: Crash Into Me

"Crash Into Me" is the title of a song by Dave Matthews Band.

Johnny Nash: Ray: It’s gonna be a bright, bright, sun-shiny day. What come's next?
Webber: I think I can make it now, the pain is gone.

Ray sings and Webber recites lines to Johnny Nash's "I Can See Clearly Now."

Episode References
Season 4, Episode 8: Derek went on a date with Sydney Heron in 4x08 "Forever Young" and showed interest in a nurse at the end of the episode.

Season 2, Episode 19: Dr. Bailey's husband was last seen in 2x19 "What Have I Done To Deserve This?".

Missing Information
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Warning: Grey's Anatomy season 4 episode 9 guide may contain spoilers
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