One year after the AI-171 Air India crash near Ahmedabad Civil Hospital, accounts from hospital leadership, medical staff, residents, and surviving victims focus on both the immediate disaster response and the long-term consequences. Witnesses and first responders describe an inferno soon after the aircraft impacted a nearby campus and residential area, with intense heat and smoke limiting access for minutes. Despite early on-scene efforts by locals to secure the area and recover belongings or remains, the hospital’s trauma wing initially received fewer injured survivors than expected. Ahmedabad Civil Hospital superintendent Dr. Rakesh Joshi says one injured survivor, Vishwas Kumar (the lone survivor), arrived by 108 ambulance on foot and that, after about an hour, incoming victims shifted to completely burned bodies, leading the hospital to treat identification as the primary task. Hospital officials report 260 deaths in total, including passengers and crew and ground casualties. Identification relied on DNA profiling and facial recognition, with DNA matches reportedly achieved within 48 hours and a large majority identified within 17 days. Across the year, multiple sources also describe persistent psychological trauma among survivors, families, and responders, alongside ongoing demands from families for timely answers from the investigation.