Accident and crashes are major causes of mortality in today’s society. In
   approximately one half of the cases of death are following trauma and head
   injuries. In cure and recovery of patients , the elapsed time from the accident till
   the arrival of the patient and the start of medical procedures has a significant role.
   This survey has been conducted in order to determine the average elapsed time in
   relation to head injury patients from the time of the accident until arrival at the
   Mobasher Kashany hospital of Hamadan and beginning of diagnostic and
   therapeutic treatment.

          This descriptive research project was conducted from the twenty fourth of June
   until the twenty second of August in the year 2000. All of the information for this
   survey was obtained from the patients, their companions, emergency room
   personnel and study of admission forms. One hundred and forty head trauma
   patients were assayed.

          Results showed that the average transportation time obtained in non referral
   patients was 101.2±92.3 minutes , and in referral patients it was 221±105.1 minutes.
   The average for all one hundred and forty patients was 139±98.7 minutes. The
   average time from arrival till the start of thrapeutic action was 76.8±61.1 minutes ,
   and until performance of the brain CT scan was 150±120.1 minutes. The most
   prevalence causes of transportation delays were the long distances to be travelled
   and non availability of appropriate vehicles for transportation. The predominant
   cause of CT scan delay was delay to send the patient by the medical staff.

          The average transportation time of head injury victims in our area , especially
   patients that were referred from distant town, is much longer than world standards.
   In order to reduce this time we must have the cooperation of the emergency
   vehicle personnel, the police department  and the minisrty of roads and
   transportaion