Summary
Railway medical evacuation has progressed from its origins in 19th-century wartime transport to a scalable, high-capacity MEDEVAC solution, especially important in large-scale conflicts such as those in Ukraine. Modern hospital trains must meet NATO standards, integrate civilian and military systems, and navigate technical and regulatory challenges related to cross-border operations. Key factors for future readiness include modular design, interoperability, and multinational coordination.
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Wehrmedizinische Monatsschrift 6/2025
For the Authors
Major (MC) Dr. Federico Probst, MD
Bundeswehr Hospital Ulm
Department of Anesthesiology, Intensive Care, Emergency Care, Pain TreatmentOberer Eselsberg 40
D-89081 Ulm
Lieutenant General (rtd) Martin CM Bricknell CB DM PhD
Professor of Conflict, Health and Military Medicine
Centre for Global Health Security and Conflict, and King’s Centre for Military Ethics School of Security Studies
King’s College London
K7.23 Kings Building
London WC2R 2LS
