dr. cushing said were not particularly surprising. one of the fatalities that we do know about, james marshall gaines iii, who was 49 -- we're not sure if he was 49 or 48. typical of the really serious injuries we saw and he was one of the people who did die overnight. he had a very serious chest wound. he came in with a catastrophic injury to the chest area. so again, dr. cushing saying these are not necessarily surprising given the nature of the way people are riding in the car and the way the train rolled over and crashed. >> okay joy. the ntsb now coming to the microphones. thank you so much. they will be giving us the very latest information that they've found. let's take a listen. >> good evening. my name is robert sumwalt. i'm a board member with the national transportation and safety board. ntsb, as many of you know is an independent federal agency. we're charged by congress to investigate transportation accidents, to determine the probable cause, and issue safety recommends to try and keep these accidents from happening again

dr. cushing was saying was they did see a lot of chest wounds. most of the what they saw was what you would see in a high speed car crash. attention is being turned to the engineer's cell phone because in incidents like a car crash, you look at things like was the person paying attention to a phone. the injuries that we're seeing here were akin to a high speed crash. one other interesting note that dr. cushing made earlier was that what they also saw when people came here to temple were a lot of john and jane does. as you can imagine, in the moment, people weren't having time to grab their bag, their purse, their identification. a lot of people came here without i.d., without being able to be identified until they could reach family and friends and a lot of people without their medical cards, a lot of people without the obvious ability to pay for their care. so there's been a lot of interaction with amtrak officials and trying to just put names to the people that were here and make sure they could get treated. >> joy, i want to add one fact to th

dr. cushing says that many patients will stay here overnight and three are expected to have surgery tomorrow. he does expect a good outcome for all the patients that are at temple. that is the latest reporting live from temple university hospital. ali gorman channel 6 "action news." >> thank you. >>> as we head to our break here is a look at pictures captured at the scene of the train derailment last night in port richmond. >>> an exterminator is convicted of murdering a center city philadelphia doctor. a jury found jason smith gimty, he confessed to strangling her in 2013 and was hired to work on her home, and told investigators that the pair argued over the quality of his work. >>> it was 30 years ago today that the philadelphia police department dropped a bomb on the move compound on osage avenue, and left five including two children dead and started a fire that destroyed 65 homes. those participated in today's rally says it's important to remember the victims as well as call attention to what the demonstrators call police misconduct. >>> the phillies are trying to solve the pirates. >> t

dr. cushing and his team performed surgerieries and set bones all night long. >> we're fortunate there weren't more deaths. what little i've seen suggested things could have been worse. >> reporter: jeff cutler agrees. he was in the second car and felt it launch into the air. >> i felt like we were flying. >> reporter: you had time to feel that sensation? >> i recall that sensation. it eventually tipped over with a thud. >> reporter: left with just bruises, he knows he's one of the lucky ones. ten passengers are still listed as critical. eight of them are here at temple university. but doctors say that they do not face life threatening situations. lester? >> nbc's stephanie gosk, thank you. at a thousand feet as we look down at that train, it is frightening enough. but imagine being on that train at night and trying to find your way out. a member of our nbc news family janelle richardson was on the train and thankfully is all right. i spoke to her about her ordeal. you cover these things on a regular basis. we cover horrible things. what is it like to find yourself in one of them? >> i think i

dr. cushing says the most severe injuries is crushed rib dmiedges i was surprised at number of rib injuries and relative few head injuries. and i think we are fortunate there weren't more deaths. for speed and more force i've got, so, it did not help certainly. >> we were tipping and chairswere all over the place and everything sort of just broke down inside of the train. >> everybody on the train was helping people. there were some older people on the train that needed a lot of assistance. and you know, people stepped up. there's no doubt. >> reporter: other survivors echoed the reck ligs of passengers helping other pass -- recollection of passengers helping other passengers. >> i am here and walk and i got lucky. >> that is nightmare. i saw so many head injuries and you know bloody faces. >> reporter: among the survivors former u.s. congressman and iraqvet patrick murphy. >> i stayed back and told the people who were bleeding to put pressure on the wounds where they are bleeding from because you don't want to see the folks bleed out. >> i think it was a cast and we passed it. >> reporter:

dr. cushing was just referring to is a 49-year-old princeton man who died just after midnight.e suffered severe chest trauma. that is what doctors say killed him. now, all the other patients here are expected to make it which is good news. the timetable varies. they will will be trickling out in the next several days. the most critically injured may be here longer but the outlook looks about five to seven days iain and lucy for those others to be releaseed. >> all right. thank you very much, dawn. we wish them all the very best an speedy recovery. >>> we're learning more about the accident we are learning more about the victims as well. fox 29 weekend anchor karen schep live in our newsroom with more on the victims. karen this is just devastating. >> really heartbreaking. these are families searching for the loved ones. we had dad tell us this morning saying his only child was missing. mid ship man from the naval academy. did we know anything. could we help his child. his worst fierce were confirmed we lost a great one. >> justin was everything you could ever hope for in a kid.

dr. cushing made earlier was that what they also saw when people came here to temple were a lot of john ande does. as you can imagine, in the moment, people weren't having time to grb their bag, their purse, their identification. a lot of people came here without i.d. without being able to be identified until they could reach family and friends and a lot of people without their medical cards, a lot of people without the obvious ability to pay for their care. so there's been a lot of interaction with amtrak officials and trying to just put names to the people that were here and make sure they could get treated. >> joy, i want to add one fact to this reporting conflict that's developing tonight over exactly what the engineer said or didn't say to the police. and the original report the "philadelphia inquirer," they're citing police commissioner charles ramsey in their report. they're saying the engineer dedeclined to give a statement to detectives and he left the police department with an attorney police commissioner charles h. ramsey said. that's directly attributed to the police commissione

dr. herbert cushing, the chief medical officer at temple university hospital. thank you so much for your time. i know you have much more important things to do. we will not keep you long. in terms of those folks who are still in your hospital what can you tell us broadly about their condition? >> temple university hospital still has 23 patients in the hospital that we're treating. we had 25 this morning, so two were able to be discharged. of the 23 still in the hospital eight are in critical care. and i expect that some may be able to go home this evening after their injuries are further monitored and we make sure that they're okay. we just had the one person that died. we're identifying him as james gaines a 45-year-old man from princeton, new jersey. and until midday today, we didn't know who he was. but after this morning's press briefing, his family came to the hospital and were able to identify him based on his clothing. we went down to the medical examiner's office and identified his body. >> dr. cushing, you said earlier you didn't see as many head injur

dr. cushing went on to say that patients came in stunned and disoriented. now the families of those loved ones were working with four representatives from amtrak because some of them are from out of the country figuring out once they are safe to go home how they will do so. live in north philadelphia, nbc 10 news. >> our team coverage continuing now with nbc 10's jesse gary. >> jesse, those fortunate enough to walk away from that wreckage are still -- some of them stuck in philadelphia. tell us what's being done for them. >> reporter: well the red cross has set up a victims assistant center inside this hotel behind me, the marriott in downtown. but i've been told that the red cross has pulled out their team and now these families are working with the ntsb and amtrak. the red cross will return if needed. right now, the people inside recovering, recounting their ordeal. today with uneasy steps, some passengers onboard amtrak train 188 walked away from the crash and gave firsthand accounts to the carnage inside the toppled rail cars. >> when i started hearing

dr. cushing who said one of the victims died. three taken to surgery when they arrived. tracy. >> reporter: we will continue to update our viewers on the "nbc 10 news" app as this continues and the "today" show has complete coverage next. >>> good morning. tragedy on the tracks. an amtrak train from washington to new york derails in philadelphia. at least five killed more than 140 rushed to hospitals. six of those in critical condition. >> people screaming and bleeding. >> the chaotic sceneecorded by passengers as they attempted to escape the mangled cars. >> keep crawling okay? >> we're here in philadelphia where the search for victims is still going on today. wednesday, may 13th, 2015. >> announcer: from nbc news this is a special edition of "today." tragedy on the tracks. with

dr. cushing said a few more patients will need to have surgery. others may also need psychological treatment. >> major part of the operation at the derailment site right now is repairing the rails. getting things back on track if you will. their goal to get rail service rolling again on the busy northeast corridor. nbc 10's drew smith back live in port richmond today. >> drew, workers are making progress, so when do they expect to have the tracks open again? >> reporter: well, those workers are going to work through the weekend, but the man in charge of amtrak said today those passengers who want to get from philadelphia to new york will have to wait until at least monday when limited service will return. we have a live shot from skyforce10. you can see there are still workers out here. they're repairing the broken rails and trying to reinforce this entire stretch of track before people can ride on it again. amtrak ceo joe boardman spoke publicly for the first time today saying the men and women of amtrak accept their responsibility. >> amtrak's h

dr. cushing, he spoke earlier today about the kinds of conversations that he's had over the last two days with these patients. >> the injuries that were sustained by most folks because they had things fall on them. those things included other people. so that was a very common story i heard. i would ask people those that were awake, what happened to you? they said oh somebody fell on me. it's not just sort of falling on them. people were hurled violently against each other. there was some luggage flying around. some of the injuries were people being thrown against seats and the sides of the train compartments when it flipped over. >> reporter: and this is just one of the six area hospitals that is treating people. among all of the hospitals in this city who took some of the passengers we know that 35 people city wide remain hospitalized. brooke? >> sunlen thank you. jason carroll, thank you. erin mclayoff lyuf mclaughlin thank you as well. i want to stay on this story out of philadelphia. i want to look at the travel impact this is having across the northeast corridor and a look at what tr

dr. cushing. >> the challenging injuries have been a lot of rib fractures and almost everybody had rib fractures. a lot of the patients were stunned. you know, they were regular folks on a train expecting to get off at the next stop. >> i am very blessed. >> reporter: among the survivors released here today 28-year-old website editor caleb bonham from washington who was checked out for a possible head injury. >> i was in the back car and so i was thrown from one side to the other side when the train tipped over and we were tipping and sheriff -- chairs were all over the place and everything just sort of broke down inside the train. everybody on the train was helping people. there were some older people on the train that needed a lot assistance and now know -- you know, people stiped. >> reporter: he headed home to dc as soon as possible. other survivors echoed hess recollections of passengers helping other passengers first. >> this is a nightmare. i saw so many head injuries and you know, bloody faces and you know people were really injured and were thrown out of their seats. >> reporter: among

dr. cushing, and when something happens late at night, how many patients did you have come to temple?0 patients come between 10:00 and midnight there were so much patients. >> so you have to call people in. >> so there is a trauma group, a level one trauma center and a single team was not enough to handle this and i wushed in from home. >> and level one trauma is the worst possible trauma so you are equipped to deal with all of that. >> that is right. yes, the highest level. >> and we've heard of people with broken bones, people being hit by luggage and people thrown from one car to another and you've seen all manner of trauma? >> yes. most of the injuries were fractures. we only saw one skull fractures but there were leg and arm fractures. the patients that died with us mr. gaines had a chest injury. >> and obviously you are used to seeing trauma but to see this number of people all of a sudden? >> that is unusual. and that is why level one trauma centers like this personally prepare for an in flux of patients all at once. >> and you have to triage and decide the most immediate cases

dr. herb cushing. >> hi. >> tell us how you handle these situations where you have 200 people coming in all in need of emergency care. >> temple hospital is a level 1 trauma center. and it was the nearest level 1 trauma center to the train derailment. and we practiced and drilled to be prepared for exactly this sort of situation. temple got 54 patients very quickly after the derailment. and everyone jumped in to action. the trauma team was all over it. the nurses, all the other hospital employees were helping out, making sure that the patients were evaluated and treated in the best way possible. and they did a stupendous job. and they really deserve our thanks and congratulations. >> how do the hospitals, doctor, work together in these situations? you've got other great hospitals in philadelphia as well. >> yeah. the ambulance crews know to sort of pace out where they're bringing the patients. the majority of them in this situation were going to come to temple hospital because it was the nearest one. and we could have taken more patients, and we're continuing to pull all of the time, we're

dr. herbert cushing says he's surprised that more people did not lose their lives considering the severity of the tragedy. >> i'm very very proud of all temple team that really helped them get better. it's remarkable and dramatic we had only one person died that very bad injury. >> aria frankford treating more than 60 victims of tuesday night night's tragedy. dr. zinnia fuss company heads up the traumatic union. the emotional scars may take some time to heal. >> i think a lot of people are going to have -- even have more of a problem later when it all sets in they get post trauma stress disorder and where tow they keep reliving it in their minds. i imagine it's very surreal. >> reporter: and many of those patients may need some counseling. once they start to process exactly what happened. and consider the enormity of this derailment that left eight people dead. lucy? >> all right, thank you very much, dawn. >>> amtrak has a shelter still open for families of victims. it is open until midnight tonight at the the marriott on the 1200 block of market street in center city. it also has a hotli

dr. herbert cushing is chief medical officer. >> i'm surprised at the number of rib injuries. that surprised me in the relative few head injuries. and i think we're fortunate there weren't more deaths. things could have been a lot worse. >> reporter: instincts kicked in for patrick murphy, who took these pictures of the aftermath. the former congressman and iraq war veteran treated the devastating scene as a battlefield. >> i stood back and just told the people who were bleeding to put pressure on their wounds where they were bleeding from because you don't want to see those folks bleed out. >> reporter: did that train thank you talk about in iraq come through in that moment when you didn't want the leave anyone? >> we leave no one behind. i wasn't going to climb out when there were people still hurt. >> reporter: at this hour, there are 23 patients from the derail. here at temple university hospital, and, scott doctors expect at least six of those patients to go home tonight. >> pelley: jericka thanks. some of the injured were treated at aria health systems hospitals. earlier

dr. cushing has died. that was one of the hospitals of many in the philadelphia area.spitals we should point out, close by. so we may get reports from those other hospitals soon. let's hope you don't hear more reports of those critical injuries turning into deaths. >> most of the injuries now he said are limbs. >> a lot of people have been allowed to go home. 243 people were on board train 188 when it departed from walk. it was headed here to new york city. amtrak service between philadelphia and new york remains suspended at this hour. the train apparently was going around a bend or entering a turnabout 9:30 when passengers say it shookd it rocked it came to a sudden crashing stop willie. >> let's go to rehema ellis live in philadelphia with the latest on this story. for people waking up to this story, a recap if you could and tell us what you are seeing there. >> absolutely. more people are finding out now is what the doctor mentioned is that this was a scene where it became a case of all hands on deck from hospital personnel to 200 officers out on this scene, local

dr. cushing give a briefing from temple university hospital which stayed on stand by until 12:45. 54 peopleere transported to temple. 25 of them are still in the hospital. one was transported there, died overnight. he said most of the injuries involved people who were hurt by flying people or luggage or things. most of the injuries of the people they've got right now, damage to limbs. >> he said all the people who were talking happened to be in the last two cars of the van. the ones in the back are the ones that were hurt when things or people fell on them. >> they have a level four it's fascinating to learn when it's level four nobody goes home. all hands on deck. >> he also said as we look at some of the cars that flipped over last night, he said the further back in the train, those were the people who were still able to talk to him. so the further you were away from the impact area the more likely you were to survive. >> the death toll up to six. five dead on the scene, one dead from injuries. >> 140 needed some type of medical attention. let's go live to the scene of the deadly crash. a