What to do in the Critical First Hours of a Neurological Emergency

The Emergency Neurological Life Support (ENLS) course is designed to help healthcare professionals improve patient care and outcomes during the critical first hours of a patient’s neurological emergency.  ENLS demonstrates a collaborative, multi-disciplinary approach and provides a consistent set of protocols, practical checklists, decision points, and suggested communication to use during patient management.  This activity is designated for a maximum of 15 AMA PRA CME, ANCC, ACPE and CECBEMS credits upon completion. For detailed information on continuing education credits and NCS' joint provider accreditation, please click here.



“I thought the ENLS course was fantastic.  The course covers a broad range of material and is extremely clinically oriented.   The faculty were great and were free of obvious commercial bias.  In addition they gave the current consensus about protocols of care for patients and were able to highlight areas of controversy and/or ongoing research.  This course has tremendous value.”
~ Frank M O’Connell, MD, FACP, FCCP, Atlanticare Regional Medical Center

“We had a great turnout for our ENLS event. This course really served to coordinate our departments and provide useful information for both our nurses and providers. We look forward to offering the course again in the near future!”
~ Tara D. Box, RN, BSN, CNOR, Clinical Education Supervisor, Crouse Hospital

“ENLS was tough and useful. It is an amazing compilation of important and succinct information, with practical implications. Many primary specialty textbooks do not contain the information provided by ENLS, especially up-to-date details that guide fast-paced management decisions from the first encounter with the neurological or neurosurgical patient in the ED to his/her long-term NICU stay. Despite the fact that I am a mid-career neurointensivist with years of experience, I found few module questions quite challenging. I have definitely learned something new.”
~ Panayiotis Varelas, MD, Henry Ford Hospital
“The ENLS course is a great nursing tool. The course covers all the important aspects of early care and treatment for neuro patients; and the opportunity to complete the course online - at my own pace - is a perfect fit for busy neurocritical care nurses who want to advance their knowledge and skill.” 
~ Dai Wai M. Olson, PhD, RN, University of Texas Southwestern

ENLS Informational Guide

Info GuideThe ENLS Informational Guide is a comprehensive tool for anyone interested in learning more about ENLS. Topics range from course overview and continuing education credits to becoming a certified ENLS trainer and how to host a live course. FAQ sections address common questions related to individual online registration and the Train-the-Trainer course, while ACGME-ENLS Residency Milestone Tables help residents chart ENLS course topics to ACGME milestones. The ENLS Information Guide is a valuable resource for anyone interested in completing the course, hosting a course, becoming a trainer, or simply learning more about the course.

Bulk Pricing is Available: $8 each when you purchase 25 or more. 
Member Price $10.00
Non-Member PRICE $10.00


ENLS is made up of 14 protocols.  Each protocol was designed and written by neurointensivists and emergency medicine physicians.  These protocols are designed to provide the same advice an expert in neurocritical care would provide if you called the physician for a consult and asked, “What should I do in the first hour to best help this patient and hand them off to you?”

1. Acute Non-Traumatic Weakness

2. Acute Ischemic Stroke

3. Acute Stroke

4. Airway, Ventilation and Sedation

5. Approach to the Comatose Patient

6. Intracerebral Hemorrhage

7. Intracranial Hypertension and Herniation

8. Meningitis and Encephalitis

9. Pharmacotherapy

10. Resuscitation Following Cardiac Arrest

11. Spinal Cord Compression

12. Status Epilepticus

13. Subarachnoid Hemorrhage

14. Traumatic Brain Injury

General ENLS questions? Please email ENLS@neurocriticalcare.org. Thank you!