Hundreds of civilians are being killed or seriously injured in artillery and gun attacks as the Sri Lankan Army attempts to finish off the last Tamil Tiger rebels trapped in a shrinking pocket of land.
Injured civilians lucky to get out have told of carnage in this so-called "no-fire zone" - a 20 sq km strip of coast where the Tigers are penned in with their backs to the sea.
Horrific stories of limbs ripped off by shellfire and bodies buried where they fell are emerging, despite the Government's efforts to hide the scale of the killing by confining the injured to hospitals in a military area around the no-fire zone, from which the media are strictly excluded.
The casualties' accounts of a fierce onslaught on the no-fire zone and their severe wounds have been reported by doctors who have treated them at a field hospital at Pulmoddai, inside the military area, where thousands of evacuees have been taken by ship.
According to a doctor handling the casualties, shells are falling among the tightly packed tents and shelters housing tens of thousands of civilians, killing and wounding dozens every day.