MINNEAPOLIS -- It's hard to imagine anyone surviving a six-story drop into the Mississippi River.
But it's now apparent that the vast majority of those who were on the Interstate 35W bridge when it collapsed Wednesday escaped with relatively minor injuries.
Although the final death toll is unknown, doctors and safety experts say that a combination of factors, from physics to shock absorbers, probably helped cushion the blow for people who plunged from the bridge in vehicles.
In general, they say, the cars and the bridge itself helped absorb some of the impact that would have killed someone free-falling from that height.
"I would say over two-thirds of the people walked away," said Dr. Marc Conterato, an emergency room physician at North Memorial Medical Center in Robbinsdale, Minn., who was at the site. "Believe me, the human body can absorb a lot of trauma."
As of Sunday, the death toll stood at five, and 24 people remained hospitalized, five in critical condition and four in serious. About 75 others were treated and released. About eight people are missing and presumed drowned.
As tragic as that is, it's a far cry from what some at the scene expected.
"I figured we'd probably have a couple of hundred injured, and 25 or 50 fatalities," said Dr. John Hick, an emergency doctor and disaster coordinator at Hennepin County Medical Center.
Many of those treated at hospitals had broken bones, fractures or back injuries from the vertical fall, doctors said.
"I've certainly seen many worse injuries in car crashes," said Dr. Jeffrey Chipman, a trauma surgeon at the University of Minnesota Medical Center, Fairview.
In some cases, the vehicles dropped straight down on top of a portion of the bridge as it hit the water. That "would have created some kind of cushion when they landed," Chipman said.
James Kakalios, a physics professor at the University of Minnesota, agreed. "Some of them were able to ride parts of the expressway down," he said. "And that helped distribute the force and save the individual cars, as opposed to a car just falling 50 feet on its own."
Vehicle safety designs probably also played a role, said Lanny Berke, a mechanical engineer and safety specialist who is a frequent expert witness in accident cases.
"Let's start with the school bus," he said, referring to the bus carrying dozens of children. Because of federal safety rules, he said, it had an emergency door at the rear through which they could escape. "So the federally mandated design features for school buses saved those kids' lives," he said. "Because there's no way in hell they could have gotten out the front."
At the same time, he said, seat belts and airbags could have helped some survive, as well.
And the survivors had another thing going for them, the experts agree. "We were lucky," said Conterato. "We were actually in an area that was very well-populated. People had relatively easy access to the area. Plus, we were relatively close to two large medical facilities, the university and Hennepin County. So we were able to put people on the scene relatively quickly."