1.   Finally, when the third call resulted in an ear-splitting shriek, I remembered.

2.   One minute she was splashing in a baby pool, the next she was launching ear-splitting shrieks.

3.   Ear-splitting shrieks, shouts and ritual wailing accompanied honking car horns.

4.   Ear-splitting shrieks and hysterical shouts accompanied the honking of cars and protesters knocked down police barricades.