Chapter 16

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The hospital buzzed with intensity as the emergency alert blared over the intercom: "Code Orange. All available medical personnel to the ER."

Meredith's heart quickened as she hurried down the hallway toward the pit. The news of the warehouse fire had broken just minutes before, and ambulances were already lining up outside the doors. Smoke inhalation cases, burns, fractures, and other severe injuries—she knew they'd be seeing it all tonight.

Meredith barely had time to grab her coat when Derek appeared beside her, a mask over his face, his eyes focused.

"They just brought in over twenty casualties," he said, scanning the scene. "Some with critical injuries. Are you ready?"

She nodded, her face steeling with determination. "Let's do this."

Together, they quickly divided patients between the emergency and surgical teams, assessing cases as they went. Nurses, residents, and attending surgeons were scrambling to keep up with the influx.

At the other end of the ER, Meredith spotted Mark Sloan in the thick of it, assessing a patient with severe facial burns. He wore a look of intense concentration, already deep into planning the necessary treatments.

"Hey, Sloan!" Meredith called as she rushed past him to her next case.

He glanced up briefly, managing a quick nod. "Grey! Be prepared for some critical cases. This fire got to people before they could get out. It's bad."

Meredith hurried back to her patient, where Derek was already running an ultrasound to assess internal injuries.

"Shrapnel wounds in the abdomen," he said, his voice calm but urgent. "We need to get him to the OR, stat."

With practiced precision, Meredith and Derek worked in tandem, prepping the patient for surgery. They moved swiftly, the rhythm of their teamwork almost second nature. After handing off to the OR team, they quickly returned to triage, ready for the next patient.

In another trauma bay, a nurse flagged her down.

"Dr. Grey, this one's critical—severe smoke inhalation, possible airway damage."

Meredith moved over to the young man, her heart racing as she noticed the labored breathing and pale skin.

"Sir, can you hear me?" she asked, glancing at his oxygen levels, which were dangerously low. She signaled a nurse to set up for intubation, aware that every second counted.

As she worked, she heard a familiar voice nearby—Lexie, giving orders to stabilize another patient. "Hang in there," Lexie said to the woman on the stretcher, her tone soothing yet firm.

Once her patient was stable, Meredith took a quick breath and hurried over to check on Lexie, squeezing her shoulder briefly. "How's it going?"

Lexie managed a small smile despite the chaos. "We're hanging on. We've got this."

After checking in on Lexie, Meredith headed to another bay where Mark was finishing up on his burn patient, preparing him for surgery.

"How's he doing?" Meredith asked.

Mark looked up, a weary but resolute look in his eyes. "He's stable for now, but this is just the beginning. Burns like these...we're going to be working on him for weeks."

They shared a silent understanding before he went back to work, focused and unrelenting. Meredith moved to her next case, her mind already shifting to the task at hand.

Hours passed in a blur of movement and focus. Derek and Meredith found themselves shoulder-to-shoulder in yet another OR, repairing a ruptured spleen on a young woman who had been trapped under debris. The two exchanged quick words and glances, their shared intensity and dedication pushing them through the exhaustion.

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