As the U.S. continues to refuse an independent probe, Doctors Without Borders (MSF) on Thursday released its own damning report of the American military‘s bombing of the medical charity‘s Kunduz, Afghanistan hospital last month—describing patients burning to death in their beds and people shot by a circling fighter jet while attempting to flee.

The review (pdf), the first installment of an ongoing investigation, gives a harrowing, chronological account of the bombing, which took place while at least 105 patients were admitted, surgeries were ongoing, and people—including children—were immobilized in the intensive care unit. The report confirms that 149 MSF staff and one International Committee of the Red Cross delegate were in the hospital compound during the time of the attack.