Monday's train collision killed scores of people and left piles of mangled wreckage strewn across the tracks.
The scale of the task confronting rescuers soon became apparent.
The wrecked carriages took hours to prise apart in the search for survivors.
As rescuers tried to save who they could, officials appealed over loudhailers for blood donations.
The number of people who had died rose steadily through the day with officials saying 58 had died.
But police, civil defence workers and troops also managed to pull people out alive.
More than 20 ambulances converged on Qalyoub as the rescue effort swung into action.
Rescuers had to use cutting gear to reach many bodies trapped in the carriages.
Bulldozers and cranes were also brought in to try to clear the tracks.
The high number of dead and injured make this Egypt's worst train crash for four years.
The collision highlights once again the country's poor record of rail safety.