By Lina Shaikhouni
BBC World Service
When the earthquake struck successful the mediate of the night, it was an particularly terrifying infinitesimal for Ismael Alraj.
He had conscionable stepped extracurricular the infirmary successful al-Dana, successful north-western Syria, wherever had taken his sick son, Mustafa, erstwhile everything started to violently shake.
Mustafa was inactive wrong the building, getting treatment.
"Then the earthquake got stronger," Ismael tells maine implicit a patchy telephone connection. "The powerfulness went retired and the entranceway to the hospital, which was made from glass, started shattering."
Ismael, a journalist, saw 2 residential buildings illness astir 150m (500ft) distant and was wholly disorientated successful the abrupt darkness.
"It was similar a doomsday scenario," helium says. "I started imagining however I would person to rescue my lad from the rubble."
A infinitesimal later, helium saw his Mustafa moving towards him, screaming and crying. He had ripped retired his ain drip, and humor was oozing from his arm.
For up to an hour, cipher could scope the collapsed buildings. They could not telephone the civilian defence units either due to the fact that of powerfulness and net cuts.
Al-Dana is an opposition-held municipality successful Idlib province, adjacent the borderline with Turkey. Civil defence units are the lone exigency archetypal responders successful the lack of immoderate authorities services, but the standard of the devastation made it intolerable for them to scope everyone affected.
A fewer hours aft the 7.8-magnitude earthquake struck, Ismael went to measure the concern crossed Idlib.
"The harm is indescribable," helium says. "The areas astir affected are ones which were antecedently bombarded by Syrian authorities oregon Russian forces."
The Syrian uprising successful 2011 descended into a bitter civilian warfare successful which the Syrian regime, backed by Russia, pounded rebel-held areas.
For the past 3 years determination has been a shaky ceasefire successful north-western Syria. The portion is divided into a patchwork of zones controlled either by Syrian absorption forces oregon the Damascus-based government.
Ismael saw dozens of residential buildings destroyed successful the municipality of Atareb, northbound of the government-controlled metropolis of Aleppo.
"There are galore buildings and neighbourhoods which rescue teams can't scope due to the fact that of a shortage of equipment," helium says.
"We truly request assistance from planetary organisations."
Precious resources
Doctor Osama Salloum works for the Syrian American Medical Society (Sams), which supports a fig of hospitals crossed the opposition-held north-west.
"I was successful the Sams infirmary successful Atareb a fewer hours aft the quake," helium says.
"When I near the infirmary determination were astir 53 deaths. I could not number the fig of injured."
He says much than 120 radical person present died successful that infirmary alone.
Dr Salloum says the hospitals person small resources to header with specified a disaster.
"Most of the radical saved from the rubble person heavy injuries which request specialised attraction and precocious equipment," helium says, adding that Atareb's infirmary lone has 1 aged computerised tomography (CT) scanner.
Most assistance comes successful via Turkey and is taxable to strict checks astatine the border.
With Turkey facing a immense humanitarian situation itself, it is unclear what supplies volition scope the opposition-held areas successful Syria.
"If we tally retired of our existent aesculapian supplies, we volition suffer," says Dr Salloum.
Paralysed by shock
The earthquake besides deed areas nether authorities power successful the north.
Aya was connected a sojourn to her household successful the coastal metropolis of Latakia erstwhile it struck.
The 26-year-old cook was dormant with her parent and 3 siblings erstwhile the powerfulness went out.
"I got retired of furniture but was not definite what woke maine up," she tells me. "I didn't recognize what was happening until I recovered the remainder of my household besides up."
Her household location is connected a main roadworthy and has solid windows throughout.
"We couldn't determination due to the fact that of however beardown the quake was," she says. "We remained rooted connected the spot."
Aya's parent has Parkinson's disease. She was petrified and panicking.
"I was successful daze and couldn't move," says Aya. "I kept looking astatine however the walls were shaking and moving backmost and forth. I can't picture to you however brainsick the concern was."
Haneen, a 26-year-old architect, besides lives successful Latakia. She tells maine young men successful her neighbourhood enactment up tents for radical to structure from the rain.
The tents are usually utilized to big mourners during a funeral. It's a sombre thought for Haneen.
Her parent was successful her location colony and is safe, but Haneen is traumatised.
"I'm not definite if I helped my sister oregon myself permission the location archetypal and I can't look asking her," she says.
They sheltered successful beforehand of their section bakery earlier returning home.
Things were much hard for Aya, arsenic she could not find a taxi oregon immoderate structure for her sisters and parent during a tempest successful the mediate of the night.
Aya and her household yet managed to get to Damascus, but she is not definite she tin look returning to the location successful Latakia.
"We witnessed the warfare and were forced retired of our location successful 2012," she says. "The feeling I had successful the mediate of the earthquake was precise antithetic to what I felt during the war.
"I felt that astatine that infinitesimal everything astir maine could collapse. I could suffer my parent oregon my sister. It was a precise dense and hard feeling."
Even reaching the information of Damascus could not afloat help.
Aya felt dizzy for hours, arsenic if the earthquake was inactive going on.
"It was similar a coiled re-opening. A ample coiled that was healing dilatory but has re-opened again," she says, reflecting connected much than a decennary of civilian war.
"The coiled was re-opened for everyone successful Syria without exception."
For Dr Salloum, the earthquake besides brought him backmost to the worst days of the war, surviving nether bombardment successful then-opposition-held eastbound Aleppo earlier it was captured by authorities forces successful 2016.
"I felt decease was close," helium says. "I kept proceeding buildings and rocks fall."
He describes the chaos of those archetypal fewer moments of the earthquake, proceeding radical panic and outcry for help.
"I could not recognize what was happening," helium says. "It's been a pugnacious time and determination is nary extremity successful sight."