Loosely inspired by Hurricane Sandy, which devastated the East Coast of the United States in 2012, the plot follows the doctors as they attempt to rescue survivors from the bus crash in the midst of the storm.
[1] On its initial airing, the episode garnered an American audience of 8.99 million viewers and received widespread critical acclaim.
The episode opens with a voice-over narration from Meredith Grey (Ellen Pompeo) about surviving life's perfect storms and discovering true strength in the aftermath.
Although the baby is born healthy, complications arise due to an earlier fall, causing Meredith to suffer serious abdominal bleeding.
Meanwhile, Arizona, Alex, and Jo face chaos as oxygen machines in the NICU stop working, and Cristina performs surgery on Richard's patient by listening to his heart in the dark.
"[3] TV Fanatic lauded the episode, commenting, "No matter what goes on during a season, Grey's Anatomy is always able to pull off an unforgettable finale and 'Perfect Storm' was no exception.
"[5][6][7] Examiner.com echoed similar sentiments, writing, "Grey's Anatomy delivered yet another epic and emotional season finale that pushes our characters in challenging new directions."