  50 States are include in the entire United States of America   48 in mainland U.S. with Alaska and Hawaii as the other 2.7 people found this useful. 50 States are include in the entire United States of America   48 in mainland U.S. with Alaska and Hawaii as the other 2. 7 people found this useful.
The Death of Derek Shepherd. Derek Shepherd (Patrick Dempsey) dies after a tragic car accident on Grey's Anatomy. Watch this scene from Season 11, Episode 21: How to Save a Life to see the heartbreaking moment Meredith Grey (Ellen Pompeo) says her final goodbye to her husband.erek Shepherd (Patrick Dempsey) dies after a tragic car accident on Grey's Anatomy. Watch this scene from Season 11, Episode 21: How to Save a Life to see the heartbreaking moment Meredith Grey (Ellen Pompeo) says her final goodbye to her husband.
Patrick Dempsey 's Grey's Anatomy character survived a shooting, a plane crash, and countless natural disasters -- not to mention the loss of several friends and colleagues -- but the last of his nine lives ran out on Thursday, April 23. PHOTOS: Hot TV doctors. As detailed in Us Weekly 's recap of the episode, Derek Shepherd was headed to the airport -- after saving four lives, natch -- when a truck slammed into his vehicle, sending him to a nearby hospital with serious head and chest injuries.