Israel rescued four hostages alive from two locations in the heart of Nuseirat, Gaza, Israel said Saturday.

The rescues come after a morning of strikes in Central Gaza. Videos show dozens of people in the emergency department at Al Aqsa Martyrs hospital, the region’s only functioning hospital.

Hamas called it an “unprecedented brutal attack” and said there are “dozens of martyrs and wounded in the streets” although they do not yet know how many people were killed and injured in the attack.