What made me starting thinking this was watching a lady film a boat going nuts in a marina trying to run over a guy in a seadoo and crashing into parked boats. She seems to be pretty far away from danger but keeps gasping and screaming with every hit.

You’re right about the screaming detracting from the real issue though, especially if there is already a group of witnesses and you hear blood curdling screams while someone gets knocked out and then the inevitable person running in to dribble the victim’s head to really make sure the spinal cord has separated.