In this chapter, the author uses the Haddon Matrix to describe the disasters affecting each mode of transportation and the British Major Incident Medical Management System (MIMMS) to illustrate how these events are managed. The chapter deals with air disasters, sea (ship and ferry) disasters, rail (train/railway) disasters, and motor vehicle (bus/coach) disasters. Airport rescue resources must adapt to local circumstances. Implementation of a well-developed communication plan after an aviation incident facilitates transmission of information to all participating agencies. "Load and go" principles have been used in takeoff and landing crashes because the transport times are often quite short. The large losses in sea disasters have often been related to warfare. An incident at sea often happens far from land and from emergency and rescue resources. The chapter focuses on the most probable type of traffic mass casualty event that rescue forces encounter, that is, a bus or coach crash.