The hospital scene begins with Jessica and her birthday cake in focus, representing Sarah's thoughts, while the surroundings are blurred, showing her isolation. The dark, green lighting creates a tense, sad mood. Sarah dreams of Jessica's birthday but wakes in the hospital corridor, realizing her daughter may not be alive. The brightening lights and matching gown/walls symbolize her acceptance of the grim reality. The heartbeat monitor flatlining as Sarah runs adds suspense about the fates of characters. Increasing non-diegetic music builds this tension.