On accident there is a damage if cervical spine, first line of management is-

"initial care at the accident scene may be critical to survival. The first steps are to establish an airway, maintain oxygenation and immobilize the cervical spine". *Many of the spinal injury patients are multiple trauma victims and therefore require emergency treatment. *The treatment priorities are preserving life(1st), limb, and. function. The spine must be protected as these priorities are addressed sequentially. *The ABCs of trauma are followed in order of priority, with airway ventilation and circulation being secured before fuher evaluation proceeds. ref : maheswari 9th ed