Following a highway accident that left 15 dead in Canada, six people are battling grave injuries.
Officials announced on Friday that four additional survivors are still receiving medical care.
On a highway in Manitoba on Thursday afternoon, a bus carrying senior citizens to a casino collided with a truck.
One official referred to it as "one of the worst tragedies" that the province has ever experienced.
Two hours west of Winnipeg, near Carberry, on the Trans-Canada Highway, a fatal accident resulted in a massive response involving 13 ambulances and air ambulances.
At 11:43 local time (17:35 BST) on Thursday, emergency vehicles were sent to the scene.
"Manitoba experienced one of the worst tragedies this province has ever seen," said Lanette Siragusa, CEO of Shared Health, which oversees the Winnipeg hospital treating nine out of the 10 survivors of the crash.
"Words are not necessary. " .
One of those taken to the hospital was one of the two drivers of the two vehicles.
The six patients in critical care had "quite extensive injuries," according to Dr. Shawn Young, the hospital's executive director. .
He added that the age of the patients might have an impact on recovery. This group of patients is elderly. " .
Officials refused to provide more information about the patients' conditions but stated that the majority of the patients' injuries were orthopaedic.
The majority of the elderly passengers on the bus were from the community of Dauphin, Manitoba, or its environs, and they were going to the Sand Hills Casino in Carberry.
The collision was devastating to the close-knit community in Dauphin, according to Mayor David Bosiak of that city.
Everyone in the town, according to Mr. Bosiak, "literally knew someone who was on that bus.". It's just a tremendous tragedy for our small community, and there is a general feeling of shock.
"It's a punch to the gut and a kick in the teeth. ".
The owner of the truck involved in the collision, Day and Ross Trucking Company CEO William Doherty, told CTV News that "the thoughts of the entire Day & Ross team are with those who have lost loved ones in this terrible incident.".
We have faith that those who were hurt will make a full recovery, Mr. Doherty continued. "We'll give the investigation our full cooperation and provide whatever help and support we can. ".
Prime Minister Justin Trudeau is one of the people who have so far sent their condolences.
He posted a message on Twitter stating, "I'm keeping the injured in my thoughts.". "Canadians are here for you. I cannot even begin to imagine the suffering those affected are experiencing.
. "
