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“We've worked throughout the entire night. We haven't stopped. The bombing has been non stop. We've run out of ketamine, we've run out of propofol, we've run out of all painkillers. We can't sedate anyone. We can't give them any analgesia. When we intubate people, they wake up and they're choking because we have no sedation.”
That's Mohammed Mustafa, a British Australian emergency physician currently working Gaza.
The renewed Israeli attacks, which commenced in the middle of the night, have so far killed at least 404 people in Gaza.
Reporting from al-Ahli hospital in Gaza City, he says Israel's latest attacks are the worst he has witnessed.
“There are seven girls getting their legs amputated, no anesthesia. The bombing is still going on. The room is still shaking. I haven't slept. We went to bed at about one o'clock, and at 1:30 the bombing started. It's about 10am now. Just come back to my room. I'm light headed, I'm dizzy, and I mean, it's just mostly women and children, burnt, head to toe, limbs missing, heads missing.”
On Tuesday, civil society group Defence for Children reported that in a single day, Israel killed at least 174 children, causing what they say is one of the largest one-day child death tolls in the territory’s history.
With hundreds more wounded, hospitals in the area are once again overflowing with patients, yet have insufficient supplies or resources to treat the volume of people in need of help.
Ahmed Khalil is among the wounded in Al-Aqsa Hospital.
“I was safely sleeping, sleeping I swear. I saw sand and rocks falling and it is sticking. I'm pushing it away, in order to, as people say, in order to live. You want to live, you push away the sand. Everything is falling on me. Yahia (his son) is saying: 'please save me, dad', and I'm telling him, it's done, my son, I won't be able to. He said: 'We are dying, dad'. I told him, yes my son it is done, thank God.”
Israeli Prime Minister Benjamin Netanyahu says these strikes are only the beginning.
“Hamas refused offer after offer to release other hostages. In the past two weeks Israel did not initiate any military action in the hope that Hamas would change course. Well, that didn't happen. While Israel accepted the offer of President Trump's special envoy Steve Witkoff, Hamas flatly refused to do so.”
According to the Health Ministry in Gaza, Israeli strikes killed at least 170 Palestinians in Gaza between the beginning of the ceasefire on January 19th and March 17.
Just last week, Israeli strikes killed at least 9 Palestinians, including 3 local journalists.
Israel however, says it has not initiated any military action in the last two weeks, instead blaming Hamas for the collapse of a ceasefire.
Mr Netanyahu says any harm done to civilians in Gaza is the fault of Hamas.
“Palestinian civilians should avoid any contact with Hamas terrorists. And I call on the people of Gaza, get out of harm's way, move to safer areas. Because every civilian casualty is a tragedy and every civilian casualty is the fault of Hamas.”
With new evacuation orders in place, aid officials say hundreds, possibly thousands of people are being forced to pack up their belongings.
Safiyeh Lubbad was displaced to al-Saftawi neighbourhood.
She says she woke to the sounds of bombs and screaming children.
"We thought that we would remain in lasting peace or that the war is over, but we all woke up terrified. The children were screaming and we were horrified, (thinking) what on earth happened? We started to shiver in fear and the small children were screaming. We started to calm them down gradually but we the adults were also horrified, (thinking) what on earth happened? The war is over. We do not want to go back to the tragedy, fear and displacement that we've experienced, we do not want to go back to that again.”
Israel says airstrikes resumed because Hamas is rejecting proposals to extend phase one of the ceasefire deal.
Israel wants Hamas to release all remaining hostages before negotiating phase two of the deal, with the second phase requiring the full withdrawal of Israeli troops from Gaza.
Hamas, which is following the terms laid out in the original deal, says Israel is avoiding its own phase two obligations.
Former Israeli Major General Noam Tibon says he doesn't believe the Israeli government is keeping hostages safe inside Gaza.
“I think the government is taking a huge risk over the life of the hostages. And at the end of the day, I think that by this action, we're doing two mistakes. Number one, first of all, we need to bring the hostages back home. Number two, the government doesn't have an end state for the war. What will be in the day after? Who will control Gaza? And when you know, we are after a year and a half in a war, and when you don't have clear cut goals, you go into a swamp.”
In recent weeks, Israel has not only cut off all humanitarian aid from entering Gaza but last week made the decision to cut off power supply.
The move to cut power also forced the shut down of crucial desalination plants, putting severe restrictions on access to drinking water in the already devastated territory.
United Nations Secretary General Antonio Gutteres says the level of suffering in Gaza is intolerable.
“Unfortunately we are witness, witnessing a situation in which we had intolerable level of suffering for the Palestinian people with the air raids that killed hundreds of people. We have humanitarian aid still blocked.”
In Tel Aviv, thousands of Israelis have gathered in protest against the decision to resume airstrikes in Gaza.
There remain 58 Israeli hostages in Gaza, including 34 who Israel says are already dead.
Mr Netanyahu says until these hostages are released, discussions on phase two of a deal will take place 'only under fire'.
Protester Schmuel Tossmam says the government is no longer focused on the hostages.
“And Netanyahu on the government, no matter what they do, they're trying to prolong their grasp of the rains over Israel now, destroy all of its democratic foundation and move away from the hostages, which is the main thing that's supposed to be on the table. Everything else has to be second stage to that.”
The attacks in Gaza follow several days of US strikes on Yemen, which have so far killed over 53 people.
The US says the strikes are targeting Yemen's Houthi rebel group, despite the fact the group has launched no attacks since January 19.
Hamas says the United States bears full responsibility for what they describe as massacres in Gaza.
White House Press Secretary Karoline Leavitt says the U-S was fully aware of Israel's plans.
“The Trump administration and the White House were consulted by the Israelis on their attacks in Gaza tonight. And as President Trump has made it clear, Hamas, the Houthis, Iran, all those who seek to terrorize not just Israel, but also the United States of America will see a price to pay. All hell will break loose.”
Rosalia Bollen is the Gaza-based spokeswoman for the United Nations International Children's Emergency Fund.
She says without the immediate reinstatement of a ceasefire, civilians in Gaza will suffer immensely.
“It's very clear, very simple, very plain. The ceasefire has to be reinstated immediately, and the blockade on aid supplies must be lifted without delay. Families in Gaza are worn out, not just physically but also mentally. They've lived through 15 months of unprecedented violence and utter deprivation. Families in Gaza are in need of everything right now, shelter support, food assistance, access to clean water. Hospitals lack supplies, and so it is crucial that the bombing stops and that the aid blockade is lifted. This is critical to saving children's lives here in Gaza.”
