Dixie and Ian were among the 20 ambulances that arrived at the crash site. There were 4 carriages, so 5 ambulance teams were designated to each carriage. Police and fire crews were on the scene- making it safe for the ambulances teams to work, removing and identifying bodies and trying to figure out the cause of such a devastating crash.

Dixie and Ian walked into their carriage along with 8 other paramedics from a number of different regions. They called out but had very few responses- this was the final carriage of the train- it wasn't particularly full but it had broken away from the other carriages and rolled several times during the crash. It was a horrific scene. There was a lot of blood, which covered all the walls. They found two young children crying at the back of the carriage, next to their dead mother. Miraculously both of the children seemed relatively unharmed- the mother must have somehow managed to protect them. They were taken to St James' as they were lower priorities. Higher priority cases were being taken to the Holby ED because it was closer. The death toll continued to rise as they assessed patients, most of whom had broken necks from not being retained during the rolling of the carriage. Occasionally they would find a live patient- but they were in a very bad way with multiple, often open, fractures. There was virtually no one conscious in the carriage.
Dixie continued checking patients in the carriage, she tripped on a textbook on the floor, but Ian caught her. Dixie opened the textbook and, inside on the front page, a name was written in neat pen: Ethan Hardy. Dixie felt sick- somewhere in this carriage Ethan, and probably Rosie, were. She had to find them. Confusion and distress filled her mind- why were they even on this train? They should have arrived in London by now- everyone in the ED knew where Ethan and Rosie were. Everyone loved the two young doctors- they were, not only amazingly talented but also kind and funny. Dixie continued to search frantically for her colleagues, while Ian called the ED on the radio.
'Hello Holby ED.' It was Charlie that answered the phone
'Charlie- it's Ian, we're at the train crash site in the fourth carriage. The carriage with the most fatalities.'
'Yes? Go on'
'We think that this was Rosie and Ethan's carriage.'
The line went quiet
'Why?' Charlie sounded upset and concerned
'We have found Ethan's textbook but we haven't found him or Rosie yet.'
'Right- I'll tell Cal. We had to call him in today because of the crash anyway. Let me know if anything changes.'
'We will'
Ian cut off the call to continue treating patients.

Charlie called Cal out of resus, for now he wasn't needed. They were all waiting for the next wave of patients to flood through the doors.
'Cal- we have had some information from the ambulance crew.' Charlie looked at Cal's face which was becoming increasingly stressed and tense
'What is it Charlie.' Cal said, trying to smile
'We think that Ethan and Rosie were on the train.' Cal began to sob loudly 'I'm so, so sorry.'
Tears were falling thick and fast down the young doctors face.
'This can't happen- not today.' Cal's voice was broken and he struggled to speak through the sobs that shook his body violently. Charlie held Cal, or tried to, their difference in height was awkward but Cal seemed to appreciate the gesture. Zoe walked out of resus to see where Cal had gone, expecting him to have gone for a coffee, and was shocked to see him sobbing on Charlie's shoulder.
'Zoe can you please inform the staff that Dr Hardy and Dr March were on the train. We don't know what kind of state they're in, but it sounds bad.' Zoe was also shocked by the news, and now understood why Cal was in such a state- his brother and his girlfriend in a serious train crash with a high fatality rate. Zoe left Cal and Charlie but didn't tell the other staff- not yet. She needed them on their top of their game to treat all the other casualties from the crash.

They were in a corner, soaked in blood. Ethan's body was wrapped tightly around another body, protecting it from harm. It was traumatising to see them like that. Ethan had multiple open fractures to nearly all his limbs, he had a severe head wound, his neck was twisted at an unnatural angle and he wasn't moving. Dixie knew that the chance of him surviving such horrific injuries was slim, but she couldn't give up hope. She checked him for a pulse, but when she touched his cold, clammy skin she knew he was long gone. Dixie couldn't just leave him for the police to remove. He was a friend. Dixie peeled Ethan's bloody, lifeless body off the body underneath him- it was Rosie. She was in a much better state, despite her open fractures to her left leg and various lacerations across her body, she seemed okay. She wasn't conscious and looked like she had some trauma to her head. Ian wasn't with her and hadn't seen the tears in her eyes or Ethan's body.
'Ian- here now! It's ours!'
Ian rushed over and saw Ethan's body and Rosie's body. Ethan was clearly dead, but Rosie was still alive. He didn't know how much longer for. She wasn't conscious and could have a large number of internal injuries. In silence they loaded her onto a spinal board and prepared themselves to take her back to Holby ED. Ian called over to one of the other ambulance crews.
'We have a fatality over here. I know it's a bit strange but can you take him to the morgue at Holby Hospital. He's one of our doctors. Well- he was. He has a brother there and it would be better for all of us if we could have his body at the hospital instead of here for the police to deal with.'
'Yeah- sure. Sorry.'
The other ambulance crew got to work securing Ethan's body in a spinal board and body bag to take to the hospital morgue. The ambulance sped through the streets towards the ED, the ambulance with Ethan's body in followed at a much slower speed. While on route Ian called the ED to update Charlie.
'Charlie- it's Ian we found them.'
'Right- what state are they in?'
'Ethan had wrapped himself around Rosie and I think that protected her from fatal injuries but she has a number of open fractures on her left leg, a large number of lacerations and what looks like minor trauma to her head. Eta 2 minutes.'
'And Ethan?'
The silence on Ian's end told Charlie everything. Ethan was gone.
'Where is he now?'
'In a second ambulance behind us- the police agreed to let us take him back to the hospital morgue. I'm sorry. We couldn't do anything.'
The line went dead.

Charlie looked at Zoe and shook his head. Tears filled her eyes. She still hadn't told the rest of the staff that they were even on the train. Cal wasn't anywhere to be found. He had hidden in the staffroom. While Charlie tried to find Cal, Zoe called the staff to meet around the nurses station.
'I have an announcement to make. About an hour ago we received information that the train that crashed had items belonging to two of our young doctors- Dr Ethan Hardy and Dr Rosie March. Since then we have had an update that Rosie is on her way in but-' Zoe choked on the lump in her throat. 'But Ethan didn't make it. He protected Rosie as the train crashed. It's thanks to him that we even have one of our doctors coming back tonight.'
Shocked gasps and sobs filled the air. No one said anything- no one wanted to and no one could.
'Where is he?' A small voice spoke, it turned out to be Robyn who had tears silently pouring down her face.
'He's on his way to our morgue in a separate ambulance. Ian and Dixie requested that he came here instead of stay at the scene.'
The staff were silent, there was not a dry eye in the room and no one moved.
'Rosie will be here any minute. I'm so, so sorry, but we do still have a department to run.'
The staff slowly dispersed and waited in resus for Rosie.