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Germany restores Cold War bunkers and prepares hospitals in case of conflict with Russia

2026-09-17 18:28:25Kosova&Bota SHKRUAR NGA REDAKSIA VOX

Germany restores Cold War bunkers and prepares hospitals in case of conflict

Germany is preparing its healthcare system for a war scenario, taking measures that include reviving bunkers built during the Cold War, training civilian surgeons for war wounds and protecting hospitals from drone attacks.

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 potential conflict situation in Europe.

For decades, the idea that war was a reality that belonged to other countries prevailed in Germany, but this approach is changing.

In addition to discussions about rearmament, missiles and tanks, authorities and health structures are already facing concrete questions: how many wounded might need to be treated, how many beds and surgeons will be needed, and how hospitals will function if power or communication networks are damaged.

One example mentioned is the Ulm hospital, where under its building is a bunker built in 1979, designed to treat wounded soldiers even after a nuclear attack.

The bunker can house up to 2,000 people for a period of 90 days, and after decades of being unused, the German army is now considering bringing it back into use.

Germany's five military hospitals would not be sufficient to handle a large-scale conflict, so civilian hospitals would have to play a much larger role. The focus is on triage procedures, treatment of war wounds, drug and blood supplies, the 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, as well as planning for work during a widespread blackout or disruption of critical infrastructure. Another part of the preparations is the training of civilian surgeons in the treatment of war wounds and in the management of situations with an extremely large number of patients, known as “mass casualty events.” According to the data mentioned, there are only a few hundred doctors in Germany with specific experience in treating typical war wounds, which makes training civilian personnel a key element.

The preparations are not limited to hospitals, but also include reopening Cold War bunkers, creating reserves of materials and medicines, protecting health facilities from drones, organizing the evacuation of the wounded and planning medical transport. In this context, closer coordination between the Bundeswehr and the civilian health system is being discussed.

A Bundeswehr report modeled possible scenarios for a Russian attack on NATO, estimating that Germany could receive up to 1,000 wounded soldiers per day, which would quickly overwhelm military hospitals and put civilian hospitals under unprecedented pressure. The government’s challenges include finding enough hospital beds, strengthening medical supply chains, and improving coordination between military and civilian hospitals. Sufficient training of medical personnel is another urgent challenge.

Private companies in the healthcare sector are concerned that their employees may be called up as reservists or serve as volunteers for military service, which affects up to 20% of employees in some regions. Germany has seen a surge in hybrid attacks since Russia launched its full-scale invasion of Ukraine in 2022, including an incident with a drone carrying explosives at Leipzig Airport.

German Defense Minister Boris Pistorius has said that Russia could start a war with NATO in 2029, although some analysts believe it could happen even sooner. In that case, Germany would be forced to defend the alliance and, due to its geographical location, would likely become a major transit hub for military personnel.

Experts warn that the German healthcare system is not prepared for a major conflict, while hospital leaders describe the challenge as a "marathon" that requires huge investments in modernizing infrastructure and supplies.


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