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Witnesses described hearing a loud boom Thursday and moments later, finding victims, including construction workers, strewn through the wreckage. Other people were trapped in cars, they said.Giovanni Hernandez said it "sounded like a bomb, like multiple bombs in one.""It sounded like the world was ending, and when you look back, all you see is the bridge on the floor. It was awful," he told CNN affiliate WSVN. Sweetwater police Sgt. Jenna Mendez was stopped at a red light one intersection away when she saw the bridge crumple. At first, she thought, "Why would they have brought the bridge down during the day?"Mendez drove forward, saw crushed vehicles and realized "this was not on purpose, this was a catastrophe," she told CNN.She rushed into the debris and saw injured construction workers atop the detritus, she said.Two men had broken bones, and two others were unconscious -- one who wasn't breathing and the other with a major cut to this head. Mendez started chest compressions on the one who wasn't breathing, she said."I started yelling to civilians in the crowd, 'Please get me doctors. ... I need help up here.' A doctor jumped up, and she started helping," Mendez said.Rescue workers arrived with backboards, and the two unconscious people were taken to a hospital, Mendez said.Officers and others rushed to an SUV that was partially crushed. The driver was killed, but the passenger was rescued, Mendez said."They were able to take a piece of wood, and civilians (and) officers pried that door open and pulled him out of the back seat of that car," she said.Doctors and medical students ran to the scene from a nearby building and started treating victims, said Isabella Carrasco, a student at the University of Miami who had passed under the bridge in a car just before the collapse.Carrasco saw at least five cars crushed beneath the bridge, she said."Someone on the side of the road had asked a police officer if she had heard any response from the people inside the car," Carrasco said, "and she shook her head and said no."Kendall Regional Medical Center received 10 patients, including two in critical condition, said Dr. Mark G. McKenney, the trauma medical director. 2195

WPVI reported Christopher Ryan Tucker, 34, faces murder and assault charges for killing 19-year-old Tara Serino. She had been reported missing on Nov. 1, WPVI reported, citing court documents. 192

While prescription opioids like oxycodone or hydrocodone were considered to be driving factors in the increasing rates of overdose in the early part of the 2000s, heroin and illicit fentanyl have become the drivers for opioid overdose deaths in recent years. In fact, the number of overdose deaths related to fentanyl is expected to more than double, from an estimated 9,945 in 2016 to 20,145 in 2017, the CDC says. For the first time, fentanyl will be the leading cause of opioid overdose. 490

You say millions of words in a campaign and you do your best to be clear and accurate. Sometimes it just comes out wrong, she writes. "It wasn't the first time that happened during the 2016 election, and it wouldn't be the last. But it is the one I regret the most. The point I had wanted to make was the exact opposite of how it came out." 340

While it has long been expected that Ryan would leave after the 115th Congress, sources close to him have said for weeks they expected he would run again in order to raise money for the party and not throw his conference into a leadership battle. Ryan "recently" came to the conclusion that wasn't the best path for him, one of the sources said.McCarthy and Scalise of Louisiana are among the contenders congressional observers see as most likely to replace Ryan.Scalise demurred when asked if he would run for the speakership."We're getting way ahead of ourselves. Obviously, there's a lot of speculation, but I've been real clear for a long time, I don't want to get into speculation," he told Fox News, adding, "We've got to make sure we keep the majority."Scalise told Politico in March that he would not rule out running for the speakership if Ryan were to retire.One source with the conservative bloc, the House Freedom Caucus, says McCarthy is, at this early stage, likely to have the support to become the next Speaker with the group's chairman Rep. Mark Meadows a front-runner to become Majority Leader.Meadows, of North Carolina, praised Ryan's tenure in a statement after the news broke."Speaker Ryan has served our country well for decades as a thoughtful policy leader in the House," he told CNN. "He will be successful in any future endeavor and I wish him all the best."McCarthy had previously run to succeed Boehner in fall 2015, before abruptly dropping out, leaving space for Ryan to run and be elected at the end of October that year. 1553