ok, I hate to say this, but really, if a person survives a car crash, the doctors have probably seen it... I hate when people say "The worst injury we have ever seen" thing. Please, that just makes a person just go, "yeah right." Other than that it seems pretty good... but, study the Greek Tragedy... that stuff can make a person cry... maybe look up some of the stuff that writers of tragedy talk about for their pieces to make them good tragedy. I am not sure, but I just sort of feel like a ghost, having no emotions and just sort of fallowing you around. I believe it is because you have not gotten your reader properly attached to the character that they are reading about. Maybe you should have a couple chapters where the reader can get attached to the character and start to actually like them. To have a tragedy, you need your reader attached to the character otherwise the reader is like, "why do I care if you are in jail..." why do I care if this unknown girl is about to die..."