Just a disclaimer: I'm not a medic or have any real medical knowledge I simply did a bit of research before writing anything remotely medical. Also I do not own Grey's Anatomy and that's all I'm going to say.

With the abdominal bleeding under control the paramedic directed his attention to Meredith's shallow breathing , he knew that if she continued that way there would be a build up of carbon dioxide which could result in putting increased strain on her already damaged heart. "She's running out of time". By this point Meredith was stilling coming in and out of consciousness , they new that in order to maximise the potential for her to survive they had to keep her awake and talking, by going unconscious her body would begin to shut down. It would give up.

P2-" Meredith listen to me I'm going to be honest with you because you're a doctor, we need you to stay awake ok? Seattle grace has a surgeon on the way we need you to hang on till then ok ? You got that?

M-"Ye..yes"

P2-" Ok ok good Meredith , your doing great ok? Ok so tell me something about yourself , anything at all?"

GAGAGAGAGAGA SOME TIME LATER GAGAGAGAG

Preston had just arrived on the scene that looked as if the car had been battered between walls before suddenly being thrown at full force on the road. Dazed for several second Preston's attention suddenly fell on a paramedic kneeling on the ground holding the hand of who he presumed was Meredith.

PB-"Grey ? Grey we've got you , your going to be just get me up to speed on her condition?"

P2-"Well as far as we can tell-"

PB-"What do you mean as far as you know?!"

P2-"Dr due to the position of her body and the car we have been unable to fully asses her injuries all we know for now is that her heart is weak and she is on the verge of cardiogenic shock , if we don't relieve the strain on her heart she's going to die."

By this point Meredith could no longer feel any pain in her abdomen or on her chest which she new meant that she was rapidly running out of time. This is was the latter stages of shock after this would come the hypothermia. As she began to close her eyes she felt a surge of energy raging through her body. It was as if her body was telling her not to give up, that she had to stay awake and keep trying.

M-"you , you need to do an emer-emergency thoracotomy", Meredith stuttered.

PB-"She's right, I'm going in there" Preston began to wiggle his way into the car through the passenger window which surprisingly sustained little damage. Just as Preston settled in Meredith began to convulse.

PB" Her hearts shutting down ..Betadine.. Ten blade."

GAGAGAGAG AFTER THE THORACTOMY ON WAY TO HOSPITAL GAGAGAG

*BEEP BEEP BEEP BEEP*

P1-"V-fib"

PB-"Charge the paddles to 200 – clear"

PB-"Charge again 300 –clear"

PB-"360 –"

*flatline*

PB-"Go again.."

P1-"Dr-"

PB-"This is Meredith grey , CHARGE AGAIN!" Preston was not about to let his girlfriends "person , best friend's love of his life and one of the most promising interns of Seattle grace hospital die.

P1-"Charging to 360 – clear!"