This avoidable delay in treatment is a factor that pushes up the mortality in alert patients has also been recognized by others. Sved et a1[21] have stated that 'delayed diagnosis and referral remain the major preventable problems in the management of patients with aneurysmal SAH'. Ljunggren et al[7] analyzed 23 patients with aneurysmal SAH who were suitable candidates for early surgery, but early surgery could not be performed because of any reason. 13 patients died and 9 of these expired due to rebleed. They attributed the delay in treatment to patient delay, doctor's delay (delay at the local hospital) and neurosurgical delay (organisational problem at the tertiary centre). In an another study of 102 cases, 8 potentially salvageable patients rebled and died waiting for angiography or surgery.[18]