MIDLAND - Some of those hardest hit emotionally by this are the first responders who arrived to what has been described as sheer chaos and panic.
For those that worked on the front lines, it's a horrific scene they'll never forget.
NewsWest 9 spoke with Midland Fire Chief Robert Isbell who said that once first responders and fire crews arrived on scene, they were pulled in every direction because there were so many injured.
Isbell says his team has practiced these sorts of scenarios and were prepared.
Now they're just trying to cope with what they saw.
"It's taken an emotional toll on everyone, the community, the nation, to know that we had Heroes. I've seen some of this and it's just hard to deal with. I've seen some of our guys and it's just hard to deal with," Isbell said.
Isbell says his team did a fantastic job in the worst conditions.
Everyone had been assessed and transported in less than 15 minutes once they arrived.
The Midland Fire Department will continue to assist the National Transportation Safety Board in their investigation.