1. There should be effective ambulance services for early transportation of accident victims to hospitals and early transfer of patients from referral centres to specialist centres.
2. There is the need to improve efficiency in all the areas involved in pre-operative preparation of these patients to help reduce intervention time.
3. The poverty eradication programme of the government should be effective and efficient to empower Nigerians so that time lag in CT scan investigation will be reduced.
4. The road safety organisation should increase their effort in educating road users to reduce the rate of accident.
5. Good Health Insurance System is essential.
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APPENDIX 1
GLASGOW COMA SCALE
Best motor point Best verbal point Best eye point
Obeys command 6 Oriented 5 Spontaneous 4
Localises pain 5 Confused 4 Opens to speech 3
Withdraws to pain 4 Inappropriate 3 Opens to pain 2
Flexes to pain 3 Incomprehensible 2 None 1
Extends to pain 2 None 1
None 1
APPENDIX 2
GLASGOW OUTCOME SCALE
5 Good recovery: Resumption of normal life despite minor deficits, (‘return to work’ not reliable).
4 Moderate disability: Disabled but independent – travel by public transportation, can work in sheltered setting (exceeds mere ability to perform
‘activities of daily living’).
3 Severe disability: Conscious but disabled – dependent for daily support (may be institutionised – but this is not a criteria).
2 Persistent vegetative state: Unresponsive & speechless; after 2-3weeks may open eyes & have sleep/wake cycles.
1 Death: Most deaths ascribable to primary head injury occur within 48hours.