ADANA, Turkey (AP) — A powerful, 7.8 magnitude earthquake rocked wide swaths of Turkey and neighboring Syria on Monday, killing more than 2,300 people and injuring thousands more as it toppled hundreds of buildings and trapped residents under mounds of rubble or pancaked floors.

Authorities feared the death toll would rise further as rescuers searched through tangles of metal and concrete for survivors in a region beset by more than a decade of Syria’s civil war and a refugee crisis.

Residents jolted out of sleep by the pre-dawn quake rushed outside in the rain and snow to escape falling debris, while those who were trapped cried for help. Major aftershocks, including one nearly as strong as the initial quake, continued to rattle the region.

“I don’t have the strength anymore,” one survivor could be heard calling out from beneath the rubble in the Turkish city of Adana, as rescue workers tried to reach him, said a resident, journalism student Muhammet Fatih Yavuz. He said three buildings near his home were toppled.

Click the above photo for the full story from the AP