*clears throat* Awkward

Ivy stretches as she walks into the kitchen, hearing her brother and sister-in-law talk, "So you and Cristina are going fishing? Whose idea was that?"

"Hold up. You're going fishing without me? I'm hurt," Ivy sighs, dramatically.

"Owens concerned about leaving Cristina alone, so when I told him I was going fishing... and you hate fishing, why are you complaining?" Derek looks to his overdramatic sister.

"Its the principal. As your younger sister, you should always think of me."

Meredith ignores the siblings antics, "Right, but you haven't actually spoken to Cristina?"

He packs the cooler, "Actually, I have."

Ivy senses the awkwardness about to happen, "Right... I'mma go watch tv."

She quickly exits as Meredith asks, "You spoke to her? When?"

She makes it to the living room as there is a knock on the door and the bell ringing. She opens it to see Cristina and Owen, "Hey, Derek-"

"-Is right here. Let me grab the last of my things," he says.

The other four of them stand their, awkwardly, as Derek packs some stuff. Meredith and Cristina won't really look at each other, Owen is concerned, and Ivy, well Ivy is trying to figure out how to politely excuse herself without making things even more awkward.

Thankfully, Owen speaks first, "Uh, let me give you a hand with that."

"Yeah, and I have got to go get ready. I have to stop and grab Jackson, April and Lexie some coffee. Enjoy the fishing trip!" She dashes up to her room, tripping on her way up.

"They won't both come back alive."

○○○○

Ivy takes a sip of her coffee, with a tray holding three cups in the other hand when she is almost run over.

"Whoa, hey!" She yells.

"Sorry, Baileys holding a contest for whoever has the least amount of fistula patients and I-" April apologizes.

Ivy grabs one of the coffees and holds it out to her, "Say less, go, win."

April grabs it, shoots her a smile and darts off. As Ivy turns around, she spots Jackson and Lexie speedwalking towards her. She stops them, hands them a coffee and then shoves them on their way, "I feel like a mother somedays. Oh, wait, I'm on trauma today. Yes!"

○○○○

Meredith and Ivy stand at the ambulance bay when Owen walks out, "Okay, two minutes out. So, uh, you ever go fishing with Derek?"

He clearly is asking Meredith, "I'm a surgical resident. When would I have time for that?"

"You get a day off now and then."

"I spend my days off here, where she should be," Meredith sasses

Ivy doesn't think this is the time or place, "Meredith, not now."

She's ignored, "What are your plans for her tomorrow, bowling with Bailey? Cooking class?"

Owen sasses back, "Not sure, but, uh... bowling with Bailey, that sounds fun."

"Yeah, if she were flat out drunk," Ivy snorts.

The ambulance pulls up, "Trina Paiz, 27, stable. Only complaint is a lacerated ear. Pretty amazing considering she fell 100 feet into a ravine. Apparently, her husband broke her fall."

Meredith takes Trina as Owen and Ivy head over to the husband, "Jason Paiz,  27-"

"Jason!"

"Grey, take her to trauma two, Shepherd, with me."

"B.P. 70 palp in the field. Started two large-bore I.V.s..." Ray tells them.

○○○○

Ivy hands Owen the board and helps get Jason hooked up as Meredith walks in, "Wife is stable. Nervous, but-"

"-She should be. His abdomen is distended, and he has a lot of internal bleeding," Owen interrupts her.

"Systolics 60, and pressures dropping," Ivy tells him.

"Lets get him to an O.R. now," Owen sets the portable sonogram down.

They jump into action and get him up to the O.R. When they get up there, Owen tells them, "Grey, Shepherd, no time to scrub. Come on. Gown me. See if his type and cross is back yet. In the meantime, get me some F.F.P. and some factor VII up here. Drape him. Good. Okay. Lets go. 10-blade. I hope no one is wearing new shoes."

He makes the first incision as Ivy and Meredith stand opposite of him, "More laps," Ivy takes to being Owen right hand on this one.

Blood gushes out, "Laps! Laps!"

Ivy suctions as Meredith observes, "Shepherd, I can't see anything."

"I'm suctioning."

"Suctions to slow. Use your hands. Another suction. Grey, helps too," Owen says.

Ivy does as he says and start getting blood out, "How's his pressure?"

"79 over 40," They hear.

"Hes like a bucket full of holes," Ivy sighs, still scooping out blood with Meredith.

Owen nods, "I'm gonna occlude the aorta at the hiatus till we can get his pressure back up. How many units has he gotten?"

"Three units of O-neg, one unit A-positive type specific, and one unit of F.F.P."

Owen nods, "Okay. Let's get some more packs in there. Let's try and isolate this bleeder until we figure out what we're dealing with. Laps. More. Keep em coming. More. More. Quickly. Faster. I don't want to have to keep asking."

○○○○

"His B.P. is still 70. With all these lap pads, he should be better by now," Ivy points out.

"His pelvis and his spleen look clean. Has to be his liver. Try a Pringle maneuver. Lets see if we can stop this bleeding," He directs Ivy.

She nods and does so. She shakes her head as she does so.

Owen gets frustrated, "Damn it. Damn it. That's what I was afraid of. His vena cava is torn. You can let go."

As she lets go, he sticks his hand in the body and Meredith asks, "Dr. Hunt, what are we doing?"

"This is-  this is a lethal injury."