At the scene: Marrakech residents spend a night in the streets while others flee

As the dust began to settle, panic set in.

Screams echoed through the narrow streets of Marrakech’s old city as the extent of injuries and damage became apparent.

Just seconds before the magnitude 6.8 earthquake shook the Moroccan city, scores of people had been enjoying their Friday evening in the crowded alleys and on the city’s bustling Jemaa el-Fnaa square.

Others had been asleep when the ground began to violently shake just after 11 p.m. local time (6 p.m. ET).

When the magnitude of this natural disaster slowly began to show, many made their way for wide, open spaces, as far away as possible from tall buildings, lampposts and electricity cables.

Severely injured people were carried out of destroyed homes on stretchers, or even wrapped in carpet, and the cries for help grew louder and louder. In some cases, they fell on deaf ears an ambulance crew turned away an elderly woman. With the vehicle full of injured people, the crew – visibly shaken by the scenes – explained that they simply did not have enough space to take her to hospital.

Many of those who were lucky enough to escape the earthquake unharmed stayed in the street until the early hours of the morning. With homes destroyed and rumors of an even stronger aftershock circling, makeshift beds were erected as people decided to camp out on the streets. The morning after, some of them were still there, many of the city’s parks, plazas and parking lots transformed into tragic impromptu campsites.

They left behind them a historic city badly damaged. Marrakech’s Medina and city walls, adored by tourists, were hit particularly heavily, their century-old structures unable to withstand the violent shake.

While Marrakech suffered, the epicenter of the earthquake was around 50km away, in the rural, mountainous Al Haouz region.

It was from these rural areas dozens if not hundreds of injured were brought to the city’s CHU Mohammed VI hospital’s emergency department.

There were scenes of desperation in the hospital courtyard.

With the hospital at full capacity, medics performed open-air triage with many patients, including some appearing to be severely injured, being treated outside the hospital in a row of hospital beds.

While most patients from Marrakech had been seen to by the morning, those from rural areas continued their painful wait.