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is traveling to new york on business. we are told that they are working with the working to compare the manifest with the people at hospital. >> i want to talk about the treatment involved in this. and dr. gupta is a doctor in pain sque drexler university college of medicine. and sarah is the associate director at temple university ems. dr. gupta, to you first. as you're looking that types of injuries that doctors are seeing here what does that tell you about what happened inside of the train? >> you can imagine with a crash with the magnitude of this there are going to be fractures.