The public hospital in Balasore, the closest to the site of India's worst rail disaster in decades, has been the scene of tough decisions, life or life. Almost every minute, the siren of an ambulance outside Fakir Mohan Medical College and Hospital announced the arrival in the emergency room of a new group of wounded.

At least 275 people lost their lives in the crash and of the 1,175 injured, 382 were still being treated at various hospitals in the state on Monday.