[Management of a nuclear, biological and chemical mass casualties event].

The management of a nuclear, biological or chemical mass casualties event (MCE) is a great challenge for emergency medical services and the hospitals of the region. Planing, exactly prepared protocols, adequate resources, instructions and extended training are the most important elements for successfull management of the MCE. This review presents a concept of managing a MCE including recognizing the threat, personal protection, evacuation, lifesaving procedures, decontamination, treatment, transport, hospital management, as well as procedures to avoid further contamination and panic.