At Khan Younis’ main Nasser hospital, the wounded arrived by ambulance, car, flatbed truck and donkey cart after what survivors described as a strike that hit a school being used as a shelter for the displaced, Reuters reports.

Inside a ward, almost every inch of floor space was taken up by the wounded, medics hurrying from patient to patient while relatives wailed.

A doctor carried the small limp body of a dead boy in a track suit and placed him in a corner, arms splayed across the blood-smeared tile. On the floor next to him, surrounded by discarded bandages and rubber gloves, lay a wounded boy and girl, their limbs tangled with the stands holding the IV drips in their arms.

Two young girls were being treated, still covered in dust from the collapse of the house that had buried their family. “My parents are under the rubble,” sobbed one.

Outside, men carried corpses in white and bloodied shrouds to be taken away for funerals. Around a dozen bodies lay on the ground. Five or six were taken away in a motorcycle cart.