Ukraine’s largest children’s hospital was destroyed by a Russian missile on Monday, shaking Kyiv, the capital, with images of bloodied and injured children, and sending hundreds racing to the scene to help clear twisted metal and smashed concrete in a desperate search for survivors.

The hospital strike was part of a barrage of bombings by Moscow across the country, including one of its deadliest assaults on Kyiv since the first months of the war.

At least 38 people were killed across the country, including 27 in Kyiv. More than 100 people were injured. The Ukrainian air force said it shot down 30 out of the 38 missiles launched by Russia during the attack, which began in the midmorning.