A person’s spine is the center of a person’s body, and it is generally very tough and not prone to injury in normal life. However, there are unpredictable accidents that can occur. There is a high risk of spinal and even spinal cord injuries when heavy objects collapse, falls from heights, car accidents, and other unforeseen circumstances. Vertebral compression fractures, fractured or dislocated vertebrae, and spinal cord injuries are the most common spinal injuries. Spinal injuries are often serious and complex, with systemic abnormalities and even life-threatening injuries. If the injury site is located in the thoracic or lumbar spine, the injured person will experience pain in the lower back, unable to erect the body normally, unable to turn over and other movements; if the corresponding part of the spinal cord is injured, there will be a decrease or loss of muscle power of the corresponding body below the level of the site, loss or loss of sensation, abnormal pain, and even urination and defecation abnormalities, etc.; if the injury site is located in the cervical vertebrae, in addition to pain and activity disorders of head and neck, when the corresponding spinal cord is injured, the injured person will have a generalized abnormality, and even life-threatening injuries. If the injury site is in the cervical spine, in addition to head and neck pain and activity disorders, damage to the corresponding spinal cord, there will be paralysis of the body below the cervical spine, and even life-threatening. The first time after the spinal injury normal first aid measures are extremely important, correct and timely basic first aid will greatly reduce the degree of injury to the spine and spinal cord, to improve the condition of the injury after the recovery of body functions. Incorrect first aid measures are likely to save lives while aggravating injuries and even leading to paraplegia or death. Therefore, it is essential to understand proper spinal first aid. The most important principle: under the safety of the scene, before the arrival of professional first aiders, in-situ first aid to reduce the movement of the injured person’s body and position. First aid steps: 1, if the injured person has difficulty breathing or even coma, clean up his respiratory secretions in time to keep the airway open. 2.If the injured person is squeezed by a heavy object, remove the heavy object without making the injured person’s body turn easily. Avoid direct force on the injured person’s body. 3.If there is a bleeding wound, bandage it urgently, and thicken the bandage if there is cerebrospinal fluid leakage. 4.Quickly inquire about the injury, according to the injury, may cause head and neck cervical spine injury, are on the neck injury treatment. Any suspected spinal fracture should be treated as spinal fracture. Squeeze the head and neck on both sides with clothing, etc., so that the neck is less twisted. 5. If the injured person is lying down, use larger hard objects such as door boards and bed boards to tie the body to them to ensure that there is no movement of the spine. If the injured person is in a sitting position, a shorter hard object should be used to stabilize the back to transfer the patient to a longer hard board to lie flat. When transferring the patient, do not turn or twist the body in any way, such as carrying the patient in a cradling position or two people lifting one person’s head and one person’s leg, as these are likely to aggravate the injury. The correct way to transfer: 1, the injured person’s limbs straight, the upper limbs close to the torso, the hard board on the side of the injured person. 2, when handling the injured person, it is necessary to carry the injured person. 2.When carrying the injured person, at least three people need to lift the injured person horizontally at the same time, slowly placed on the hard board, the whole process of coordinated and gentle movements, to ensure that the injured person’s body is flat up and down, to prevent the body from twisting. 3, cervical spine injury of the injured, after fixing their necks, the handling process, need to hold their heads, and along the longitudinal axis of the body slightly force outward traction, so that it is the same as the long axis of the torso, to avoid swinging and twisting of the neck. 4. After the injured person is moved to the hard board, a wide strip of cloth can be used to tie the injured person and the hard board together, in order to prevent the limbs from swinging due to the bumps on the way of transportation, thus aggravating the injury of the spinal cord.