Meredith and Alex are on speaker phone with the hospital. Arizona gives medical instructions while others in the room want them to get out of the ambulance. Alex wants Meredith to scram. There's no reason both of them should stay. They argue back and forth. Then…CRASH!
Meredith and Alex are tossed around the inside of the rig. Something hit them from behind. Everyone back home wonders what happened as the phone goes dead. Meredith is cut on the head, but both she and Alex are in reasonably good shape.
They mobilize the baby with an oxygen tank and an IV. The rain has stopped, but a horrific scene greets Meredith and Alex as they step out of the rig. Motionless bodies are strewn across the road. A mangled vehicle rests on its side nearby. All this in the middle of nowhere.