This week, for the first time in decades, Germany carried out its largest medical exercise in decades as Russia's threat to Europe increases the possibility of large‑scale war.
The NATO "Quadriga 2026" exercise took place in Lithuania and simulated evacuating wounded soldiers from the country and transporting them to hospitals across Germany.
In a worst-case scenario of full-scale war, experts believe the system could face up to 1,000 casualties a day. Meanwhile, new drone‑related injuries and attacks on medics add further risks. By performing this exercise, the army can identify gaps in the plan and prepare for the real deal.
These gaps have already been detected. A report from the German Hospital Association last year concluded, "Hospitals are poorly equipped for a crisis such as a NATO alliance or defense emergency," based on a survey of 165 hospitals across Germany.
The full-scale training exercise is designed to be as realistic as possible. Since Russia invaded Ukraine in 2022, the security situation in Europe has become less secure.
In response to the heightened situation, Germany has deployed permanent troops abroad for the first time since world war 2. According to DW, Lithuania's forces tripled from 500 to 1,800 this year, and it's expected to reach 4,800 by 2027.
The prospect of a large-scale war is not being taken lightly by Europe. General Carsten Breuer, head of Germany's armed forces, spoke to the BBC last week.
"I've never experienced a situation which is as dangerous, as urgent, as it is today. So what we are seeing, what we are facing, is a threat from Russia," Breuer said.
We can clearly see that Russia is building up its military to a strength which is nearly double the size of what they had before the war against Ukraine… In 2029, it will be possible for Russia to conduct a major war against NATO. And as a soldier, I have to say 'okay, we have to be prepared for this'."