Five people were killed and 67 injured in central Israel on Monday when a train carrying hundreds of passengers slammed into a pickup truck, causing a locomotive and three carriages to overturn, police and rescue officials said.
Most of the injuries were slight, but 10 people were hospitalised in moderate condition, rescue officials said.
All five of the dead had been trapped inside one of the overturned cars, a rescue service spokesman said.
About 150 rescue personnel were called in to free a total of seven trapped passengers from the seven-car train.
Some scaled ladders to enter cars tipped through their windows.
A side and roof of one car were pried open to allow access and oxygen to flow in.
Rescue workers clambered into the derailed cars with oxygen tanks and water, and boards with neck braces were at the ready to rush the freed passengers to waiting ambulances.
A bulldozer razed trees and bushes close to the crash site to bring rescue vehicles closer.
A medic who entered one of the tipped cars, said the inside was so badly twisted that rescue workers weren't able to manoeuvre to
administer extensive treatment.
Police said the truck had stopped at a closed train crossing, but was pushed onto the tracks by another vehicle that plowed into it from behind.
The driver escaped before the train struck, and tried to alert Israel Railways to the vehicle on the tracks, but wasn't able to avert the train wreck, media reported.
The train, travelling at high speed, crashed to a stop several hundred metres (yards) from the crossing after slamming into the side of a small hill covered with eucalyptus trees.
Twisted metal, downed trees and tipped train cars were scattered on and alongside the tracks.
One of the derailed cars was wedged between the locomotive and another passenger car.
Another lay diagonally across the tracks.
The crushed pickup truck stood several metres (yards) away from the tracks, and several seats were thrown from the damaged train cars.
A spokesman for Israel Railways, said 200 passengers were on the train.