In the hall, Carter doffs his lab coat and asks Lisa whether there were any passenger cars on the train. She tells him it was a passenger train. Not good. He asks how many victims there were, and she says they don't know: "They're just pulling bodies out; they need docs on site." Carter puts on a flight jacket and heads for the elevator. Luka -- coming to the elevator from the opposite direction, and trailed by Jing-Mei "Deb" Chen -- barks orders. Carter asks whether the helicopter's there yet; Luka says it is, and that they'll meet Carter and Luka on the roof. Chen anxiously informs them, "We don't have an attending." Luka tells her that Weaver is due to arrive in fifteen minutes. Lisa hands them a little picnic cooler, and I think how nice it is for her to remember their lunch until I see the Red Cross on the side. Oh. It's blood. I guess that's just Luka's lunch.

Chen strides through the halls, giving orders to Haleh and Lisa: "Move all stable patients into the hall. Double up the rooms. Anyone walking waits in chairs. Put all surgical teams on alert and notify the OR." Haleh said she already did, and that they're low on ventilators. Chen tells her to grab some from the ICU. They've arrived at the desk now; Randi turns on the TV to a news report about the crash. Chen tells Randi to call the nursing supervisor and float some nurses down to the ER. Haleh tells Chen, "They'll need them up there." Lisa suggests they get nurses from "med-surg." Everyone stares at the TV; Randi breathes, "Oh, my god."

A helicopter lands at the scene. There are already a bunch of ambulances and fire trucks around. Luka and Carter disembark the helicopter and are met by a firefighter who introduces himself as Captain Davis, the Incident Commander. As the two doctors cross the scene, Capt. Davis tells them that they were evacuating the first passenger car when it rolled, and that he has a man crushed underneath. Wow. I don't know what firefighters get paid, but I'm sure it's nowhere near enough. There's some more discrepancy on the captioning as Capt. Davis goes on to say that there are fourteen DOAs so far, and that they're still pulling them out. Hey, it's just like Unbreakable, except that scene was probably a lot easier to clear, considering everyone was dead except Bruce Willis, who didn't require any medical attention at all. Carter asks what happened, and Capt. Davis says that a car stalled on the tracks, and that they figure the brakes on the back passenger cars failed when the train tried to stop. The dark-haired female paramedic spots Luka and Carter and screams that she's got a victim of blunt chest trauma whose blood pressure is dropping. Luka tells Carter to attend the crushed guy, and that he'll take the blunt chest trauma.