Summary

In June 2025, amid an escalating military conflict between Israel and Iran, hospitals across Israel were required to reassess and reinforce their emergency preparedness. Civilian populations in central Israel faced direct threats, including missile strikes on residential areas. In response, hospital leadership at Meir Medical Center, a secondary hospital in the center of Israel, issued a directive for an immediate mass casualty incident (MCI) simulation to be designed and executed within 48 hours. The objective was to test the hospital’s operational readiness under real-time wartime conditions, stress key interfaces between pediatric and adult emergency services, and identify latent system vulnerabilities.