A complete overview of this episode's crew can be found here. Derek watches the car continue to speed. "It's a beautiful day to save lives," Derek says to himself. Normally, they'd ask about organ donation, but from the looks of it, there's not much left that works to donate. It's his dad's car. They then remembered that he had a head laceration. Outside the hospital, Penny is crying when Meredith exits. i feel like i waisted 10 years of my life !! She asks for the papers. Episode 21 " However, appreciative of Pompeo's character, the reviewer remarked, "the writing of Meredith was completely on point. " Alexandria Ingham Guardian Liberty Voice was also impressed with Pompeo’s "range of emotions", which she described similarly, as going through many stages, including anger, resignation compassion. This episode's title originated from the song, This episode scored 9.55 million viewers which is up 24.31% from its last episode ". They hear Sarah scream. Derek goes to his car and finds only a small first aid kit with very little in it. The episode was written by showrunner Shonda Rhimes and directed by Rob Hardy, making it the first episode Rhimes has written since the season eight finale "Flight". Grey's Anatomy 11x21 Promo "How to Save a Life" (HD). The car attempts to pass an SUV in front of them, but the driver clips the front of the SUV instead, sending them both flying. He says he won't and gets her to crawl out. A fire engine pulls up. She asks him if he fishes. "Grey's Anatomy" How to Save a Life (TV Episode 2015) cast and crew credits, including actors, actresses, directors, writers and more. Winnie watches Alana get taken somewhere and sees Charlie getting staples put into his head. Winnie comes in and takes Derek's arm. Shonda Rhimes Or she'll quit. "How to Save a Life" also marks the first appearance of Dr. Penelope Blake (Samantha Sloyan). She apologizes to him as she puts in a chest tube, saying it'll hurt. Toby meets the ambulance and says they can't take another trauma. She reviews all of her options with the doctor in-charge of Shepherd's case, before signing the papers to authorize the removal of his life support. Winnie says that they got their smoke signal and hugs Derek for excitement.  In an interview with Entertainment Weekly, Dempsey explained that if his exit had been a result of a conflict with the production team, it would have had happened at the end of the tenth season, when his previous contract had expired. Airdate Meredith snaps. Sarah says she can't hate him then. He quickly reduces it while she's distracted. A firefighter tells Derek to go home and get himself a drink. He says Paul is arrogant because Penny is younger than him and probably because she's a woman. There's more patients coming. Derek has moved Charlie out of the road. This is accompanied by a montage of the heyday from their relationship. Penny says she'll deal with her. She sees blood on the floor and remembers her mother telling her it's just blood. He tries to send Winnie over to Alana and Charlie with bandages. Meredith pushes Bailey's stroller and holds Zola's hand as they enter Dillard. She says it is. Winnie runs up and tells him that Charlie's car's on fire. She tells him to stay not dead and tells him, "It's a beautiful day to save lives." He finds Sarah trapped inside. The episode opens with a flashback of a five-year-old Meredith Grey (Ellen Pompeo) lost in a park. He wrote highly of her role in the arc saying, "Without Meredith, and without one of Pompeo's strongest performances in her long time on the show, "How to Save a Life" would have run the risk of coming across as a baldly manipulative death episode". She stands and the nurse asks if she's ready. Charlie was injured in a car accident. She was then taken to the hospital. He tries again to explain.