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A crowded bus plunged off a bridge into a river in Vietnam, killing 34 passengers and injuring 21 others in one of the country’s deadliest road accidents.

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The 50-seat coach lost control and ripped through the bridge’s guardrails Thursday night, diving about 60 feet and landing on its top.

Survivor Nguyen Van Khanh told online news site Dan Tri: 

“When the accident happened, everyone in the bus was sleeping…I vaguely heard a noise like a gun fire and then people were screaming when the bus was overturned…I managed to escape through a window which was smashed opened by others.”

Que said it took rescuers four hours to pull the bodies from the bus, which was traveling on a regular 217-mile stretch of road in route from the central highland province of Dak Lak to the southern commercial hub of Ho Chi Minh City.

Rescuers used axes to try to free trapped passengers. Photos showed a body hanging limply out the side of the ripped-open vehicle, which was hoisted out of the river by crane early Friday morning.

Y Bliu Arul, deputy director of the General Hospital in Dak Lak, says the bus’s two drivers were among the 32 people who died at the scene. Two others died at the hospital. Of the 21 injured, 16 were in serious condition.

Authorities are investigating the cause of the crash. Vietnam has one of the world’s highest traffic fatality rates, with more than 11,000 people killed each year.