Mark quickly reports that Lexie is awake and responsive. She's completely underneath the tail end of the plane but her upper body is just shielded by a big curved piece while from about the waist down she is pinned completely into the ground. And even though she's awake and talking, her mouth is full of blood and her breathing is short. Meredith is freaking out that they still can't find Derek, so Cristina sends her to look while they handle Lexie. Cristina declares that they have to get her out but Mark just gives her a pointed look; I had realized she was kind of favoring one arm but never put it together that her shoulder was dislocated until she tells Mark that he's going to have to pop it back in. What is it with television and movies' obsession with dislocated shoulders? Every time there is some sort of action, someone's limb pops out like they are a Barbie doll and it's absolutely horrifying to watch when it's jammed back into place. I guess I answered my own question there, actually. Mark takes a hold of her arm and after a moment, she tells him to go ahead. He pulls, and she lets out a primal scream and falls into his arms. Even Lexie jumps when she hears it, or at least the portion of her body not crushed by tons of metal jumps.
Mere has found one of the thick Seattle Grace jackets and puts it on to go looking for her husband. I had many a conversation with people after we saw the next-on, fairly sure that a person doesn't usually survive being sucked out of a plane. But I suppose if it was only at tree-height, he didn't have too far to fall. And sure enough, we see him come to half under yet more plane rubble. He can hear Meredith's faint cries but can't manage to make his voice loud enough for her to hear him. He then sees that his hand is jammed up through a crack in the metal and it doesn't look good -- I'm not sure if it's black from grime and whatnot from the crash, or if it's because it's just that injured, but a hand should never look like his does. There's also blood pouring out of the hole where his wrist is pinned. He struggles but can't pull it out and so thinks a moment and then grabs a rock right next to him, hauls his arm back and smashes his hand with the rock to try and force it back through the crack. He then lets out a blood-curdling yell from the pain. I would think Mere would have heard that, but no.