Germany is preparing its healthcare system for a war scenario, including a massive influx of wounded, drone attacks and power and communications outages. In some cases, the reactivation of bunkers built during the Cold War is being considered.
Hospitals in Germany have begun preparations for one of the most extreme scenarios: an armed conflict in Europe that would result in a large number of casualties and put the healthcare system under severe pressure.
An extensive Bloomberg report, titled "Germany's Hospitals Prepare for War and Mass Casualties as Russia Threat Looms," describes how German hospitals are planning to cope with a possible war situation.
For decades, the idea that war was a reality that belonged to other countries prevailed in Germany. But that approach is changing. In addition to discussions about rearmament, missiles and tanks, authorities and health structures are now facing very concrete questions: how many wounded might need to be treated, how many beds and surgeons will be needed, and how will hospitals function if power or communication networks are damaged?
One of the examples cited by Bloomberg is a hospital in the city of Ulm, in southwestern Germany.
Beneath the hospital building is a bunker built in 1979, at the height of the Cold War. The facility was designed to allow the treatment of wounded soldiers even in the event of a nuclear attack.
The bunker can house up to 2,000 people for a period of 90 days. It has been unused for decades, but now the German army is considering bringing it back into use.

Germany's five military hospitals would not be enough to handle a large-scale conflict. For this reason, civilian hospitals would have to play a much larger role in treating wounded soldiers.
The focus is on triage procedures, treatment of war wounds, medicine and blood supplies, number of beds, communications, and the functioning of hospitals in degraded conditions.
Measures to protect hospitals from drone attacks are also being considered, including protective barriers and bulletproof glass.
Hospitals are also planning how they would continue to operate during a widespread blackout or in the event of a disruption to critical infrastructure.
Another part of the preparations is the training of civilian surgeons to treat wounds caused in war and to manage situations with an extremely large number of patients, known as "mass casualty events".
According to the data cited in the report, there are only a few hundred doctors in Germany with specific experience in treating typical war wounds. This makes training civilian personnel a key element of planning.
Preparations are not limited to hospitals. Germany is considering a range of measures that include reopening Cold War bunkers, creating stockpiles of materials and medicine, protecting health facilities from drones, training civilian doctors, organizing the evacuation of the wounded, and planning medical transport.
In this context, closer coordination between the Bundeswehr and the civilian healthcare system is also being discussed.
German media have also addressed the scenario of a Germany at war and the consequences that a major conflict would have on the healthcare system.
The question that is gaining increasing importance in Germany is now concrete: would the health system be able to cope with a major conflict in Europe and a massive influx of wounded?