Great importance for the successful treatment of spinal injuries is correct first aid. It involves the prevention of further injury during transportation of patients to the clinic. Movements in the injured spinal may lead to a shift of vertebrae and spinal cord injury. Injured are transported in the supine position on a stretcher with a shield. In cases where the shield is absent, the they can be placed on a stretcher on the abdomen, beneath the head and shoulders roll of clothing. Anesthesia by narcotic analgetics not always is required.