Hunched on benches, curled up in chairs or even lying the floor, those injured in the powerful earthquake that wreaked havoc on Haiti on Saturday crowded an overburdened hospital near the epicenter.

The emergency room in Les Cayes, in southwestern Haiti, which was devastated by the 7.2-magnitude quake on Saturday morning that killed at least 724 people, is expecting reinforcements to help treat some of the thousands of injured.

Residents search rubble for survivors in Haiti's Les Cayes after an earthquake struck on August 14, 2021
Residents search rubble for survivors in Haiti's Les Cayes after an earthquake struck on August 14, 2021 AFP / Stanley LOUIS

"At the time of the earthquake, there were only three doctors in the emergency service," said Dr Michelet Paurus.

"This morning, it's getting better because we received orthopedists, surgeons and almost 42 residents distributed across all the hospitals of the department."

Some injured struggled to get treated in overburdened hospitals after the devastating quake
Some injured struggled to get treated in overburdened hospitals after the devastating quake AFP / Stanley LOUIS

Dr Rudolphe Steven Jacques, 26, came to the hard-hit area from the capital Port-au-Prince.

"The lack of equipment is chronic," he told AFP, gesturing to a woman sat in a corner with a large open wound on her leg.

EVENEL FERET / ESN

"This woman has been waiting for a while for me to do a suture but I don't have a tray for that at the moment."

Doctors and patients jostle in the small hospital rooms, as even more patients pour in.

With little room to treat all the injured from the earthquake, many lay on the floor of the hospital in Les Cayes
With little room to treat all the injured from the earthquake, many lay on the floor of the hospital in Les Cayes AFP / Reginald LOUISSAINT JR

"Many more injured are still arriving this morning, I wasn't expecting that. They are coming from more remote areas," Jacques said, adding the emergency service workers were "doing our best to treat people."

The violent quake destroyed over 13,600 buildings and thousands more were damaged, trapping hundreds of people under rubble and leaving more than 5,700 injured, the country's civil protection agency said.

Reinforcements were sent from less hard-hit areas of the country, but a doctor told AFP that 'the lack of equipment is chronic' at the hospitals
Reinforcements were sent from less hard-hit areas of the country, but a doctor told AFP that 'the lack of equipment is chronic' at the hospitals AFP / Reginald LOUISSAINT JR

Hospitals in the country's third-largest city near the epicenter of the quake were quickly saturated with the massive influx of injured.

"When the earthquake happened... a tremor threw me in the air and I landed on my arm," recalled Venel Senat, in his forties. "Neighbors came to help me get a taxi. I went to several hospitals, but they were overloaded.

"This morning I came here and I was finally taken care of. I had an X-ray for free and they also put this cast on, free of charge," he said, as he waited for the medication prescribed to him to be available at the hospital, the pharmacy in town still shuttered.

Already treated but under observation, many injured settled on the lawns around the buildings, traumatized by frequent aftershocks and worried damaged structures may collapse.

"People are afraid to go back inside, but tonight it's going to rain," said Paurus, moving swiftly between departments.

"We're going to try to make them come inside this room because the roof is sheet metal. For the children in the pediatric ward, we're going to try to set up tents in the courtyard," he added.

"If it rains as much as we predict, we really don't know what we will do. It's one hit after another," said Paurus.