A chemical, biological, radiological, or nuclear (CBRN) incident may occur as the result of an accident or specific act of terrorism. Events such as the Chernobyl nuclear incident in Ukraine, the Sarin gas release on the underground system in Tokyo, the anthrax releases in the US, and the Salisbury Novichok attack, highlight the necessity for a structured multi-agency and multi-disciplinary response of which medical support is an essential component. This chapter covers the mode of presentation, and then focuses on each type in turn. Scene safety, triage, and information gathering are described. For chemical incidents, decontamination and specific antidotes are also included. Characteristics of biological agents are defined, and methods of managing a radiation and nuclear incident are specifically covered, including managing the patient.