Aftershocks continue to cripple Nepal, hospitals unable to cope

The death toll from the quake has risen past 2,400 with 17 climbers killed in avalanches.

Nepalese rescue members and onlookers gather at the collapsed Darahara Tower in Kathmandu on April 25, 2015. A powerful 7.9 magnitude earthquake struck Nepal, causing massive damage in the capital Kathmandu with strong tremors felt across neighbouring countries. Picture: AFP.

JOHANNESBURG - Overwhelmed doctors moved hundreds of patients onto the streets of Nepal's capital on Sunday when aftershocks rattled hospitals and buildings already damaged.

Sick and wounded people lay on a dusty road outside Kathmandu Medical College while hospital workers carried more patients out of the building on stretchers and sacks.

Doctors set up an operating theatre inside a tent and rushed in the most critical, following a particularly big tremor that sent people running terrified into the streets.

WATCH: Massive earthquake rocks Nepal.

The aftershock, itself a strong 6.7 magnitude quake, triggered more avalanches in the Himalayas after Saturday's 7.9 quake which unleashed Everest's worst disaster and was the strongest since 1934 when 8,500 people were killed.

Outside the National Trauma Centre in Kathmandu, patients in wheelchairs who had been under treatment before the earthquake hit joined hundreds of injured with fractured and bloody limbs, who lay inside tents made from hospital sheets.

"We only have one operation theatre here. To be able to provide immediate treatment we require 15 theatres. I am just not able to cope," said Dipendra Pandey, an orthopaedic surgeon, adding he had done 36 critical operations since Saturday.

Relief agencies and officials said most hospitals were overflowing and short on medical supplies.

"Both private and government hospitals have run out of space and are treating patients outside, in the open," said Nepal's envoy to India, Deep Kumar Upadhyay.

Neighbouring countries sent in military transport planes laden with medical supplies, food and water. But little sign of organised relief efforts was visible as aid agencies struggled to fly helicopters in cloudy weather, aftershocks forced the intermittent closure of Kathmandu airport and roads were blocked by landslides.

The extent of the damage around the epicentre, near Gorkha in the western highlands, had still not been fully assessed.

Patchy mobile telephone and email communication added to the slow progress of relief as Asia's poorest country reeled from its worst earthquake in eight decades.

As rescuers dug with their hands through the rubble of brick buildings in crowded Kathmandu, thousands of survivors prepared to spend a second rainy night outside because they were afraid of going back to damaged homes.

Meanwhile a plane carrying the first 15 climbers injured on Everest arrived in Kathmandu around noon local time. One, Gelu Sherpa, said: "There is a lot of confusion on the mountain. The toll will rise."

The bodies of 17 climbers were recovered from the mountain, where the big aftershock sent boulders and ice crashing around camps in the high mountains.

It hit as Indian climber Arjun Vajpai spoke to Reuters over the phone from Makalu base camp near Everest.

"Another one, we have an aftershock right now. Oh shit!" he shouted. "Avalanche!"

Screams and the roar of crashing snow could be heard over the line as he spoke.

OTHER COUNTRIES HELP

With Nepal's government overwhelmed by the scale of the disaster, India flew in medical supplies and members of its National Disaster Response Force, while China sent in a 60-strong emergency team. Pakistan's army said was sending four C-130 aircraft with a 30-bed hospital, search and rescue teams and relief supplies.

Nepali army officer Santosh Nepal and a group of rescuers worked all night to open a passage into a collapsed building in Kathmandu. They had to use pick axes because bulldozers could not get through the ancient city's narrow streets.

"We believe there are still people trapped inside," he told Reuters, pointing at concrete debris and twisted reinforcement rods where a three-storey residential building once stood.

Among the capital's landmarks destroyed in the earthquake was the 60-metre Dharahara Tower, built in 1832 for the queen of Nepal.

A jagged stump was all that was left of the lighthouse-like structure. As bodies were pulled from the ruins on Saturday, a policeman said up to 200 people had been trapped inside.

At one hospital in Kathmandu, police officer Sudan Shreshtha said his team had brought 166 corpses overnight.

"I am tired and exhausted, but I have to work and have the strength," Shreshtha told Reuters as an ambulance brought three more victims to the Tribhuvan University Teaching Hospital.

Bodies, including that of a boy aged about seven, were heaped in a dark room. The stench of death was overpowering.

Outside, a 30-year-old woman who had been widowed wailed: "Oh Lord, why did you take him alone? Take me along with him."

DEATH TOLL

Some buildings in Kathmandu toppled like houses of cards, others leaned at precarious angles, and partial collapses exposed living rooms and furniture in place and belongings stacked on shelves.

WATCH: Historic Nepal tower collapses.

People wandered the streets clutching bed rolls and blankets, while others sat in the street cradling their children, surrounded by a few plastic bags of belongings.

Rescuers, some wearing face masks to keep out the dust, scrambled over mounds of splintered timber and broken bricks in the hope of finding survivors.

The quake struck at midday on Saturday at a busy time of year for the tourism-reliant country's trekking and climbing season, with an estimated 300,000 foreign tourists in the country, home to many World Heritage sites.

There were nearly 1,000 climbers and sherpas on Everest when the first avalanche struck and claimed the highest toll of any disaster on the world's highest mountain.

Tents at Everest base camp were flattened by rocks and snow, climber photographs on social media showed. Another 100 climbers higher up Everest at camps 1 and 2 were safe, but their way back down the mountain was blocked by damage to the treacherous Khumbu icefalls, scene of an avalanche that killed 16 climbers last year.

Helicopters were able to fly in on Sunday morning as clouds lifted, to evacuate the injured to a lower altitude, from where they were being flown to Kathmandu.

Authorities put the death toll in Nepal at 2,460, and police said 6,492 were hurt. At least 1,100 were killed in the capital, a city of about 1 million people where many homes are old, poorly built and packed close together.

Some 66 people were reported killed in neighbouring India. The aftershock rocked buildings in the Indian capital New Delhi and halted the city metro.

In Tibet, the death toll climbed to 18, according to a tweet from China's state news agency, Xinhua. Four people were killed in Bangladesh.

As the death toll from the earthquake in Nepal continues to climb a South African woman has told Eyewitness News that her husband and six other hikers are still feeling the aftershocks from the quake as they make their way through the rubble.

Candice Goodman says her husband and six other members of the Johannesburg hiking club are struggling to navigate their way home saying the authorities there are not coping with the disaster.

Goodman is relieved her husband didn't make his planned trip to Mount Everest before the quake hit Kathmandu causing avalanches and trapping hikers in base camps.

"He heard of extra flights today but nobody has any answers for them, so that's why I've been in communication with him all night to try and get them on a flight out."

Errol Goodman and six other hikers were on a hiking trip through Nepal when the quake struck leaving them stranded in the disaster zone.

Meanwhile, the International Relations' Department's Clayson Monyela has been notified and has been committed to assisting in the facilitation of bringing the hikers home.

Monyela said, "The South African mission based in Sri Lanka is in touch with local authorities and we are on the lookout for any South African that may be in distress.'

Monyela said the department is working to establish whether any of the over 2,400 dead are South Africans.

Betina Lucia of the World Food Programme says they will be focusing on feeding victims as many of them have gone hours without water or food.

"We are part of the first teams that are going in to check what the damage is, so what we are bringing in here, we have it in other countries nearby in Bangladesh, these high energy biscuits, those kind of biscuits we bring in disasters, you just eat a few of these biscuits for surviving a crisis like this."

Mountain climber Carsten Pedersen says authorities are reportedly experiencing difficulties rescuing those who are still trapped on the mountain.

"One of the helicopters that rescued some people off the mountain flew some more fuel up to camp 2 but with hundreds of people up there, you can't fly in enough fuel for them to keep warm and keep melting snow into water. At the moment they cannot come down."