Death's presence, Kimberly seeks help from Clear Rivers, the last survivor of Flight 180 who committed herself to a psychiatric ward for protection after Alex Browning was killed by a falling brick. When Kimberly informs Clear that Evan was the first of the highway survivors to die, unlike in her premonition, Clear realizes that the survivors are dying in reverse order. Meanwhile, Tim is crushed by a windowpane while leaving the dentist with his mother. Clear decides to help and introduces Kimberly and Burke to William Bludworth, who tells them that only new life can defeat Death. Believing that the birth of Isabella's baby would disrupt Death's plan, Burke sends fellow marshal Steve Adams to take her into custody while he gathers the other survivors in his apartment. When Nora decides to leave, a chain of accidents results in her head becoming trapped in an elevator, decapitating her. The survivors take Kat's SUV to track down Isabella, who has gone into labor, prompting Adams to rush her to the hospital. Along the way, the survivors realize that the demises of the Flight 180 survivors affected all of their lives even before the highway pile-up by saving them from prior deaths, which inverted the sequence of the concurring accident. The SUV then suffers a blowout, causing them to swerve into a stack of PVC pipes in a farm that penetrate the car and injure Eugene. Rescue workers arrive and assist the farm owners, the Gibbons family, with rescuing the others while Eugene is hospitalized. Using the Jaws of Life, Kat's rescuer accidentally activates her airbag, causing her head to be impaled on a pipe protruding from her headrest. Her cigarette falls onto a gasoline leak from a news van that explodes, launching a barbed wire fence into the air that dismembers Rory. Guided by a vision of a doctor named Kalarjian who Kimberly believes will euthanize Isabella; she, Clear, and Burke rush to a hospital to save her but while Isabella and her baby are safe, Kimberly sees through her premonition that Isabella was never meant to die in the pile-up at all. At the same time, an explosion from an oxygen leak in Eugene's ward kills both him and Clear. Kimberly realizes that the vision from the hospital was hers, deducing from an article of a survivor creating "new life" to defeat Death. To ensure Burke's safety, she drives into