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.
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.
Dr. Nada Abu Alrub, an emergency specialist from Australia volunteering at the hospital, described the situation as just a mass murder, a killing, a torture, a nightmare. She noted that they were operating on severely wounded patients with minimal to hardly no anaesthesia, revealing horrific conditions faced by both medical personnel and patients.
As the offensive continues, the humanitarian situation deteriorates rapidly, leaving healthcare workers and civilians in desperate circumstances. With estimates of over 640,000 Palestinians forced to flee and severe medical shortages, the urgency for international response is more critical than ever.
