The US-led bloc would likely have to evacuate large numbers of casualties using hospital trains, its logistics chief has said 

NATO would have to deal with a large number of frontline casualties without the capability to airlift them for treatment in the event of a major war with Russia, the bloc’s logistics chief has said.

Lieutenant-General Alexander Sollfrank, the head of NATO’s Joint Support and Enabling Command (JSEC), outlined the difficulties that troops would face in an interview with Reuters on Wednesday.

“The challenge will be to swiftly ensure high-quality care for, in the worst case, a great number of wounded,” Sollfrank said.

The environment of a hypothetical conflict with Russia would be completely different from what the US and its allies faced in Afghanistan and Iraq, he added. 

Unlike insurgents in the Middle East, Russia has the military capability to threaten NATO aircraft, Sollfrank noted, predicting that medical evacuations would have to be conducted on the ground.

“For planning reasons, all options to take a great number of wounded to medical installations need to be considered, which includes trains but potentially also buses,” the NATO official said.

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Ukraine is currently using hospital trains to evacuate injured troops from the front line, according to a CNN report earlier this month.

The NATO logistics command in the southern German town of Ulm recently staged an exercise based on coordinating medical evacuations, Reuters said.

JSEC contingency plans would require a legal foundation for issues such as the expedited transportation of narcotics across national borders, Sollfrank said. He also called for a ‘military medical Schengen’ – similar to how the bloc needs a ‘military Schengen’ to rapidly deploy troops and weapons to its eastern flank, according to the official.

The US and its allies have claimed that Russia may be planning to attack NATO states, and that the West can delay or prevent that outcome by arming Ukraine. The US-led military bloc has been expanding in Europe for decades, in violation of assurances given before Moscow agreed to German reunification in 1990.

READ MORE: NATO preparing troop plans for potential Russia conflict – Telegraph

The Russian government has cited NATO’s approach to its borders and the bloc’s intention to add Kiev to its ranks as key causes of the Ukraine conflict. Officials in Moscow have denied having any aggressive intentions toward NATO, which they consider a hostile force that must be deterred.