The ASCI Handbook serves as a textbook to train members of the multidisciplinary team to render a service of excellence and by doing so, to optimise the neurological, physical and functional outcome of the acute spinal cord injured. The ASCI Handbook is also a tribute to the many dedicated people who work with spinal cord injured individuals every day, helping them towards a place of healing and independence. Effective teamwork and sharing of responsibilities is the secret to a successful Spinal Cord Injury Unit. There have been numerous requests by doctors, physiotherapists, occupational therapists, nursing personnel and other categories of staff from hospitals in South Africa for information and practical guidelines on the management of acute spinal cord injuries. The ASCI Handbook is one way to provide in this need.