The injured and dying were either carried up the steep steps or hauled up the incline on sleds or sleighs pulled up by rope. There was no hospital in Ashtabula. The injured were first taken to the railroad engine house, to the filthy and run-down Eagle Hotel adjacent to the station, or to the nearby Ashtabula House hotel. As these places filled, residents opened their homes to the survivors. Ambulatory injured were the last to be hauled up from the valley. By midnight, all the survivors had reached safety. The 10 doctors in the village attended to the wounded. About 1 AM, a special train arrived from Cleveland carrying railroad officials and five more surgeons.