He's on trial for first degree murder. Wednesday morning, emergency room workers took the stand with graphic testimony about what happened after the crash.
The doctors went through detailed clinical information about injuries the child sustained in the February, 1997 accident. For most in the courtroom, the testimony was difficult to hear, but indicated that the child never had a chance at survival.
Dr. Peter Brady was working in the Durham Regional hospital emergency room when Megan was brought in. Despite their best efforts, says Dr. Brady, there was nothing the hospital staff could do for the little girl.
Blackwell, according to police, was intoxicated when his pickup truck crashed into the Dail family minivan. He is the second person in North Carolina to be tried on murder charges in connection with a drunk driving incident.
Tuesday, Blackwell shed tears during the testimony of Megan's mother, Sherry Dail. He was more subdued Wednesday morning.