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Amelia is angry at Meredith for pulling the plug on Derek and not telling her about him dying because she thinks she could have done something and she didn't get a chance to say good bye to him. A tunnel collapsed trapping many people. A man is jammed in his car due to the accident while his wife is taken to the hospital in labor about to give birth to their son. She was saved by a passerby saying he was a doctor but he was one of the new interns at the hospital. In the end they decided that the man jammed in the car had a small chance of survival so they decide to cut him out risking extreme blood loss, however April decides to bring the car closer to the hospital so he had a better chance of survival.