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 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 continue to drive tens of thousands of Palestinians from their homes each day. The Israeli military says it is conducting the offensive to defeat Hamas and secure the release of various hostages held by the group after 23 months of war.
Al-Shifa hospital, once the largest medical complex in the Gaza Strip, now lies in ruins with pockmarked walls and burned-out wards. Inside, medical staff are working under extreme pressure. Many of the beds do not have mattresses, and supplies are critically low.
Dr. Nada Abu Alrub, an emergency specialist from Australia, described the chaos stating, It's just mass murder, a killing, a torture, a nightmare. Surgical staff operate on severely wounded patients with minimal anaesthesia, managing multiple amputation cases daily.
The humanitarian situation continues to deteriorate as Israeli ground forces advance. Many families are unable to afford evacuation costs while health facilities struggle with severe shortages, risking further lives amidst the ongoing conflict.
The toll of the conflict has been staggering, with over 65,382 reported casualties from Israeli attacks since the beginning of the latest military campaign. The humanitarian crisis in Gaza is rapidly escalating, drawing urgent attention from the global community.
