A school bus crashed into a tow truck on Wednesday morning, leaving 49 students and two adults hospitalized, reported the New York Post.
As of Wednesday afternoon, four of the 49 children who were hospitalized reportedly remain in treatment for moderate injuries.
The school bus was reportedly transporting 54 kindergarten through eighth-grade students from Bear Creek Community Charter Schools in Wilkes-Barre on their second day of classes.
According to the news report, the incident occurred around 8:10 a.m., when bus driver Suzanne Ent, 53, and tow truck driver Edward Steinmann, 28, collided with each other.
Capt. Patrick Dougherty said the initial investigation indicates that the operator of the tow truck suffered a medical emergency, which caused him to cross into oncoming traffic.
According to the report, some students were released to their parents while others were taken by ambulance to the hospital.
The incident remains under investigation.
Related: The Lasting Impact of a Former Pennsylvania School Bus Driver
Related: Pennsylvania Drivers Injured After School Bus Crash
Related: Ohio Student Dies, Dozens Injured in School Bus Crash
Related: Ohio School Bus Involved in a Crash