In Australia, a truck collided with a schoolbus and at least seven students were seriously injured.
After the accident, about 30 miles west from central Melbourne, one of the students needed a full amputation.
The truck struck the rear of the bus which was transporting 45 children to their primary schools after an athletics competition.
The bus flipped over, trapping a number children inside.
The firefighter had to enter through the skylight in the roof of the bus, then use the broken windscreen as an emergency exit.
Seven of the 18 children still in hospital on Wednesday were taken from the initial 18 that were admitted to the hospital.
Many of these people are facing long-term recovery and life-altering injuries.
Bernadette McDonald, the chief executive officer of the Royal Children’s Hospital said that some children had their arms amputations after being crushed, while others only had partial amputations.
She said: “The injuries suffered by the children are multiple and traumatic, including partial or complete amputations, multiple fractured limbs, severe lacerations on head and body and glass shards.
Three patients are receiving spinal support at this time and are being closely monitored for spinal injuries.
She thanked the doctors, nurses, and surgeons for treating the children and said: “I couldn’t get people to leave last night. They wanted to stay and help any way they could.”
The 52-year-old bus driver was transported to the hospital for injuries that did not pose a life-threatening threat.
Victoria Police reported that the 49-year old truck driver was charged with four counts for dangerous driving causing injury.
On Wednesday, he will appear before the Melbourne court.