Emergency crews in the small city of West have been overwhelmed by the fertilizer plant explosion.
The small central Texas town only has 3 ambulances.
Emergency crews and ambulances from across central Texas, even Fort Worth have been responding to the scene to help.
At least five people are in intensive care. A spokesman at Hillcrest Baptist Medical Center in Waco says the facility received 98 patients, including the five in intensive care. Another 30 have serious injuries, including orthopedic and head trauma.
Providence Health Center in Waco treated 65 patients from the explosion, admitting 12. A spokeswoman says those patients had broken bones, cuts, head injuries, minor burns and some breathing problems.
Two patients are being treated at Parkland Hospital in Dallas.
Wednesday's fire and explosion killed between five and 15 people and injured more than 160 others.