US teens fight for their lives after school shooting

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Two teenage US girls were fighting for their lives on Saturday after they were both shot in the head by a schoolmate during a deadly attack at a Washington state high school a day earlier.

The girls, both 14, are among four victims who were hospitalised after Friday's bloodshed that left one student and the young shooter dead in yet another US school attack.

Joanne Roberts, a doctor at Providence Regional Medical Centre in the city of Everett, 50km north of Seattle, said both girls had undergone surgery for head wounds.

"The next three days are going to be crucial," Roberts said, explaining the surgery aimed to relieve brain swelling.

The shooting unfolded on Friday morning when 14-year-old Jaylen Fryberg, a popular first-year student at the Marysville-Pilchuck High School, opened fire in the school cafeteria, classmates and officials said.

"I could see Jaylen standing up with a gun, and he started shooting," fellow student Josiah Gould, 14, told the Seattle Times.

"They were sitting down and he was behind them shooting. After that I just ran."