Ambulances and private cars rushed some 350 casualties from the al-Ahli blast to Gaza City’s main hospital, al-Shifa, already overwhelmed with wounded from other strikes, said its director, Mohammed Abu Selmia. The wounded were laid onto bloody floors, screaming in pain.

“We are squeezing five beds into a single tiny room. We need equipment, we need medicine, we need beds, we need anesthesia, we need everything,” Abu Selmia said, warning that the fuel supply for the hospital’s generators will run out Wednesday. “I think Gaza’s medical sector will collapse within hours.”

This is heart wrenching and sickening.

Assuming Israel is responsible, they have a lot of nerve calling anyone else a terrorist.

The sheer gall to bomb a hospital. Fucking sick. I’ll be calling all my representatives tonight to ask them if they really want to continue to enable these war criminals with military aid. The inhumanity is exhausting

Can anyone here explain what moral right does USA have here to come in an intervene on side of Israel at the same time threatening Iran from taking side of Palestine? Now that a hospital with over 500 deaths have been made by Israel. Wouldn't.... That fall on hands of USA too since they brought their warships nearby and thousands of troops at the ready?

Story has been updated:

KHAN YOUNIS, Gaza Strip (AP) — The Israeli military says it had no involvement in an explosion that killed hundreds of people at a Gaza City hospital and that the blast was caused by a misfired Palestinian rocket.

The Hamas-run Health Ministry in Gaza says an Israeli airstrike caused the blast, and that it killed some 500 people, many of whom had sought shelter from an ongoing Israeli offensive.

The Israeli military, however, said Palestinian militants had fired a barrage of rockets near the hospital at the time.

This is the best summary I could come up with:

Photos purportedly from al-Ahli Hospital shared widely on social video showed fire engulfing the building, widespread damage and bodies scattered in the wreckage.

Hamas, which sparked the latest war with an attack last week that killed more than 1,400 Israelis, called Tuesday’s hospital strike “a horrific massacre.” It said in a statement that most of the casualties were displaced families, patients, children and women.

With Israel barring entry of water, fuel and food into Gaza since Hamas’ brutal attack last week, U.S. Secretary of State Antony Blinken secured an agreement with Israeli Prime Minister Benjamin Netanyahu to discuss creation of a mechanism for delivering aid to the territory’s 2.3 million people.

“The return of the hostages, which is sacred in our eyes, is a key component in any humanitarian efforts,” he told reporters, without elaborating whether Israel was demanding the release of all of the roughly 200 people Hamas abducted before allowing supplies in.

A barrage of strikes crashed into the Bureij refugee camp in central Gaza, leveling an entire block of homes and causing dozens of casualties among families inside, residents said.

Associated Press journalists Amy Teibel in Jerusalem; Abby Sewell in Beirut; Samy Magdy and Jack Jeffrey in Cairo; and Ashraf Sweilam in el-Arish, Egypt contributed to this report.

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All aid, except medical help for their own injured, to israel should be stopped in return to the hospital strike. But it wont happen because the US likes to strike hospitals as well.