I also believe that the situation was avoidable. When Shane and Otis both went into the medical trailer, I immediately knew that it was going to be a mistake because there was no one outside to arrange the escape. That's one of the things that I think makes Shane more of a "villain," it's not just that he'll do whatever he thinks he needs to do to survive or help Carl and Lorie, it's that he's reckless. Instead of making a plan ahead of time, Shane just charged in, and when push came to shove, of course he fed Otis to the zombies.
This was mostly a building block episode with a lot of filler. We finally got the return of Andrea, and everyone pretty much acted how I would act if Andrea came wandering back which was was pretty great to see.