An emergency plan was installed by the Red Crescent society in Gaza to guarantee the best ambulance services during the war. Our plan had to be altered quickly, in light of Israel's robust and vigorous military operations against civilian districts in Gaza. We asked all our 100 staff to be on call to help victims in such perilous circumstances, in addition to more than 300 civilian who volunteered to aid us during the war. The ambulance vehicles were dispersed to the most targeted districts to minimise the waiting time for victims as much as possible.

We confront enormous trouble in evacuating victims, mainly civilians, as the Israeli army has been shooting through everything in its way. Our Jabalyia ambulance centre, which serves more than 400,000 people north of Gaza, was pounded by a barrage of Israeli rockets. The onslaught injured 12 ambulance officers and obliterated three ambulance vehicles. We were able to re-operate the free ambulance line in three hours, and moved our work to the UN Relief Agency clinic in Jabalyia camp.

The Israeli war operations continue day and night, each bomb dropped by F16 warplane weighing no less than 500kg. Most of the victims must have limbs amputated due to the blasts. The health situation was in a poor condition even before the war, now, and it's on the verge to complete breakdown. There is a severe shortages in medications, fuels, power and water.

The luckiest people in Gaza have six hours of power per day. Telephone cables are ruined by the bombardment. Some of the districts have no power at all after Israeli rockets hit power grids – never mind the lack of ambulances spare parts or devices to keep in touch with ambulances in the field. We are in constant contact with the Red Cross to try to protect our medical staff, and to remind the fighting parties to respect humanitarian agencies.

The Red Crescent society ambulance centre has recorded more than 175 dead and 1,500 wounded as of today. I can't think of any district in Gaza where we haven't evacuated victims. There is no safe place at all. Our main problem is how to deal with terrified children. The bombs are like earthquakes that shake the ground under your feet.

The sounds of the blast are horrifying, I don't know how to calm my six children during raids. My house was hit by a rocket but I couldn't take my family anywhere. I try to have an hour break to do shopping for my family, and then I run back to work. This is not the first time civilians have borne the brunt of the war. Our cars are running all the day to evacuate victims, and we send no less than six ambulances to bordering districts, Khan Younis, Jabalyia and north Gaza, which is the closet to Israel.

We have two hospitals in Gaza and Khan Younis busy receiving victims 24 hours a day. Even if the civilians want to flee, there are no shelters anywhere in Gaza.