On Tuesday afternoon, rescuers combed with their hands through surface layers of a tangled mass of concrete and steel, which hours earlier had been homes in the Jabalia refugee camp in Gaza.
They were searching for survivors, or the bodies of victims, which the immense force of an Israeli airstrike had left near the surface. Those trapped deeper may be entombed for months.
After more than three weeks of intense bombardment of Gaza, heavy machinery can no longer reach bomb sites down damaged roads, and people on the ground say fuel to operate machines is running out.