Tour bus crash from Niagara Falls to NYC leaves multiple dead, dozens injured

Incident Overview - A tour bus accident occurred on the New York throughway, involving a collision with a semi-truck [1] - The bus was carrying 52 passengers en route from Niagara Falls to New York City [2] - Multiple fatalities were reported, including a child [1] Emergency Response - Emergency responders from multiple towns were dispatched to the scene [1] - Initial reports indicated 52 patients with multiple severe injuries, some trapped [3] - Communication challenges arose due to the diverse languages spoken by the passengers [7] Medical Treatment - Erie County Medical Center received 24 patients, some requiring surgery [2][5] - Two patients were undergoing surgery, and two others were at the trauma center [5][6] Investigation - The National Transportation Safety Board (NTSB) is launching a formal investigation [6][8] - The bus driver is alive, cooperating with officials [7][8] - State troopers indicated the bus lost control, hit a median, and toppled over [4][5] - Officials noted that most passengers were not wearing seat belts, contributing to the severity of injuries [5]