A 69-year-old woman has died in hospital following a four-vehicle road traffic collision in Co Fermanagh yesterday evening.
The crash happened on the Belfast Road in Fivemiletown shortly before 5.30pm.
Eight other people were injured in the incident, including three children.
A student has described how he was confronted by scenes of horror and panic after the pile-up happened right in front of him.
The 22-year-old was travelling home from Belfast when the collision happened during yesterday evening's rush-hour.
Residents living nearby rushed to the scene to help aid the casualties.
The witness, who was on a bus which arrived seconds after the accident, said it was a horrific sight.
"We were three cars behind and as we came around the corner there was debris in the middle of the road and two cars on opposite sides of the road turned on their sides in the ditch," he told the Belfast Telegraph.
"There were people running about.
"We couldn't see anyone on the ground, cars were just starting to pile up.
"So it must have been about 20 seconds in front of us.
"People got out of their cars to help. It was just after a bend in the road so you didn't notice it until we came around and the bus started braking. The road was busy.
"There was a lot of heads turning, people were trying to see what the commotion was at first, there was a baby starting to cry on the bus.
"People were concerned and hoping it wasn't too bad. The bus began the three-point turn and as it's only a single carriageway, I was worried it wasn't going to make it and block an ambulance," he said.
Seven of the injured, including the three children, were rushed to the South West Acute Hospital in Enniskillen about 20 miles away.
The three children were not seriously injured and were discharged last night.
Local residents provided much-needed assistance as the ambulance crews made their way to the scene which was around a mile outside of Fivemiletown on the main Belfast to Enniskillen Road.
A local shop worker described the panic she felt as she saw the ambulances go past.
"It was horrendous, the worst I've ever seen. I don't know quite how it all happened.
"This is a quiet area and it was very worrying to see seven or eight ambulances go past," she said.
Eight ambulances were tasked to the scene along with three rapid response paramedics, three ambulance officers and one ambulance doctor.
John McPoland from the Northern Ireland Ambulance Service said: "When the first rapid response paramedic arrived he took charge and triaged people to make sure they were treated in accordance of the seriousness of their injuries. When the other ambulances started to arrive we started to take the patients away to the hospitals.
"It was stood down as a major incident at 19.04."