A simple squeeze of her mother's hand was enough to alert doctors that a 14-year-old victim of the mass shootings in Kalamazoo had survived the carnage.

State police Lt. Dale Hinz says initial reports were that the girl had died after being shot once in the head.

Her parents told Hinz on Sunday that after the hand-squeezing a doctor asked the girl a question, wanting a thumbs-up response.

Hinz says "she gave him two thumbs up" and "it's a glimmer of hope in this otherwise tragic situation."

The Associated Press is not releasing the girl's name. Hinz says she remains in extremely critical condition.

Hinz says she was in the front passenger seat of a vehicle with her grandmother and others when they were shot Saturday outside a Kalamazoo-area restaurant.