Grey's Anatomy (2005– )
20 user 1 critic

How to Save a Life 

Derek witnesses a horrible car crash and jumps in to save lives.


Rob Hardy


Shonda Rhimes (created by), Shonda Rhimes

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Episode cast overview, first billed only:
Ellen Pompeo ... Dr. Meredith Grey
Justin Chambers ... Dr. Alex Karev (credit only)
Chandra Wilson ... Dr. Miranda Bailey
James Pickens Jr. ... Dr. Richard Webber (credit only)
Sara Ramirez ... Dr. Callie Torres (credit only)
Kevin McKidd ... Dr. Owen Hunt
Jessica Capshaw ... Dr. Arizona Robbins (credit only)
Sarah Drew ... Dr. April Kepner
Jesse Williams ... Dr. Jackson Avery (credit only)
Caterina Scorsone ... Dr. Amelia Shepherd
Camilla Luddington ... Dr. Jo Wilson (credit only)
Jerrika Hinton ... Dr. Stephanie Edwards (credit only)
Kelly McCreary ... Dr. Maggie Pierce (credit only)
Patrick Dempsey ... Dr. Derek Shepherd
Larry Cedar ... Dr. Cohn


Derek witnesses a horrible car crash and jumps in to save lives.

Plot Summary | Plot Synopsis


Drama | Romance


TV-14 | See all certifications »






Release Date:

23 April 2015 (USA) See more »

Company Credits

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Technical Specs


Sound Mix:




Aspect Ratio:

16:9 HD
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Did You Know?


With Derek's birth year displayed at the end of this episode, we find that he was two years older than Mark Sloan. In previous storyline, they were said to be childhood friends. See more »


While 11.19/11.20 take place through the course of two days, 11.21 starts at the beginning of #11.19 and surpasses the plot of 11.20 is said to take place within 24h. It's still the day of the accident when Meredith arrives at the hospital. See more »


Dr. Cohn: [When the neurosurgeon arrives to operate on Derek] What the hell have you people screwed up now?
Dr. Penelope Blake: Us? You're on call for trauma. What took you so long?
Dr. Cohn: Who the hell are you?
Dr. Penelope Blake: Your response time was supposed to be 20 minutes.
Dr. Derek Shepherd: [thinking to himself] It wouldn't have made a difference.
Dr. Cohn: If you guys had ordered a head C.T, you would have called me sooner. What am I supposed to do about that?
Paul: We needed to control...
Dr. Penelope Blake: He was bleeding into his belly.
Dr. Cohn: He was stable. You had the time. Now I gotta work like ...
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Performed by David Gray
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User Reviews

No good actors left
29 April 2015 | by zoerighoSee all my reviews

This used to be a great show. I remember I started watching it by accident at the gym. And I got stuck.The same way I had got stuck on ER at the beginning. Back then, when some good actors were playing. Burk was a good actor. George was a good actor. Izzy was a great actress. Lexie too! What to say about Christina! Or Teddy, the best actress ever on the show. Now we are left with poor, untalented Jo and the unbearable Owen. Not to mention Aimilia. The three of them are trying to act in a realistic way, but their acting is like a third rate movie's. What a pity! We'll stop watching this after 10 years. It should have ended 2-3 years before, I think.

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