Background:  Spinal cord injuries (SCI) are life threatening and most prevalent crises around the world thus the first aid from society population could be helpful for proper management by health care professionals Objectives: Evaluate the KAP of Saudi adults toward CSIs in Dammam City, Kingdom of Saudi Arabia (KSA). Methods: A cross sectional community questionnaire based survey that was carried out in 30 shopping malls of Dammam City among 700 Saudi subjects from May to July 2017. Results: Most of the subjects (90.4%) had excellent and good knowledge about CSI, 58.9% had positive attitude, 7.3% showed a right practice, while practice of 69.5%   was right but not complete and the rest had poor practice. There was a significant relation between knowledge score and Attitude score but not with the practice score. Also, there was a positive relation between the practice score and the attitude score. The older age and working status showed a significant relation with the knowledge score and the male showed a more significant right practice compared to females. Conclusion: Most of the subjects had significant knowledge, attitude. However, low level of right and complete practices was obvious due to inadequate educational training programs attended by the participants about first aid of CSI patients.