On 16 December, the Americans forces were struck by the Germans Ardennes offensive, and there was particularly heavy fighting. The ADSEC hospitals around Liege started to fill up, and by 18 December thirteen hospital trains were running between Liege and the Gare Saint-Lazare in Paris. A lesser, but significant number also arrived from the Third Army at the Gare de l'Est, and in January it also started to received patients from SOLOC when the hospitals there became overloaded by the German Nordwind offensive. The patients included about 2,000 who had been evacuated from First Army hospitals that were threatened by the German advance, although only the 130th General Hospital at Ciney was forced to temporarily relocate. Some of the hospitals around Liege suffered casualties of their own from V-weapons, air raids and long-range artillery fire. The worst affected was the 76th General Hospital, which was struck by a V-1 flying bomb on 8 January 1945 that killed 24 staff and patients and wounded 20 more. The Gare Saint-Lazare was bombed on 26 December; a hospital train was destroyed and the station put out of action for 48 hours. Three more hospital trains were temporarily put out of action when an ammunition dump in the Normandy Base Section exploded.