  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.
SPOILER ALERT: Patrick Dempsey's Dr Derek 'McDreamy' Shepherd is killed off Grey's Anatomy in dramatic car crash. He is one of the most iconic characters on Grey's Anatomy. But Patrick Dempsey's Dr Derek Shepherd, otherwise more fondly known as McDreamy, was killed off on Thursday night's episode. In a scene that has left fans of the medical drama shocked and saddened, Shepherd is T-boned by a truck after after helping the victims of a car accident in the episode, How To Save A Life.