Doctors at one of Gaza City's last functioning hospitals say they are overwhelmed with casualties from Israeli strikes and are having to carry out operations in filthy conditions with few or no anaesthetics.
One Australian medic volunteering at al-Shifa hospital told the BBC that every day was a mass casualty event, while another described how a baby had been saved from the body of a pregnant woman who had been killed.
Israeli forces are now just 500m (1,640ft) away from the hospital as they expand their ground offensive to fully occupy Gaza City, which Israel's military calls Hamas's main stronghold.
Witnesses say tanks are advancing into the city centre from the south and north-west.
Israeli air and artillery strikes, attacks by quadcopter drones and detonations of remotely driven vehicles laden with explosives continue to drive tens of thousands of Palestinians from their homes each day.
The Israeli military is carrying out the offensive to defeat Hamas and secure the release of hostages still held by the group after 23 months of war.
Al-Shifa hospital was once the biggest medical complex in the Gaza Strip. It now lies in ruins, pockmarked by craters, with burned-out wards and bullet holes.
But inside medics are working beyond full stretch. Many of the beds do not even have mattresses, medicines are in short supply and the casualties are endless.
Dr. Nada Abu Alrub, an emergency specialist from Australia, described the situation as a mass murder, a killing, a torture, a nightmare. She mentioned performing surgeries without adequate anesthesia, with severely wounded patients suffering horrific injuries.
As the humanitarian crisis deepens, the number of displaced persons rises dramatically, with families struggling to escape the violence and find safety. The UN reports that significantly more than 320,000 Palestinians have fled north since mid-August, facing dire conditions in tent camps.
Many families report being trapped in their homes amidst advancing military operations, where every moment poses a threat to life.
The escalating death toll from the ongoing conflict places immense pressure on emergency services, with the Palestinian health ministry reporting that over 65,000 people have been killed in Israeli attacks since heightened hostilities began.
