Rows of wounded lay outside the emergency department of the 1,000-bed hospital in Myanmar’s capital Naypyidaw, some writhing in pain and others in shock after a powerful earthquake.

A stream of casualties were brought to the hospital — some in cars, others in pickups, and others carried on stretchers, their bodies bloody and covered in dust.

“This is a mass casualty area”, a hospital official said, as they ushered journalists away from the treatment area.

The hospital’s emergency department was itself heavily damaged, a car crushed under the heavy concrete of its fallen entrance.

People were seen sitting stunned with their head in their hands, blood caking their faces and limbs.