As I’ve been watching the promo, it really wouldn’t surprise me if it’s super misleading. While April is obviously hurt badly, Owen’s “April?!” is from a different shot than him saying “oh no”. Add that to the fact that when Meredith says, “we’re not going to lose her” - you also don’t see April in the shot. Yes, I know that she flatlines in a frame of the promo, but Meredith (and I believe Izzie + Callie at one point) flatlined.
All that to say I’m excited to see what happens, but I’m not entirely convinced that the promo is what it seems. However, it could be exactly what it seems.
Plus, I feel like we won’t get all the answers this week cause they have to set the stage for the accident. I’m assuming they’ll leave us hanging on whether or not she dies until the finale.