Emergency Neurological Life Support (ENLS) is here!
I’ve been waiting to see this come to fruition for some time now, having helped work on the Acute Non-Traumatic Weakness protocol with Oli Flower (@oliflower), who co-chaired this section. Overall, the project was headed by Wade Smith MD, PhD and — that man again — Scott Weingart, MD RDMS (@emcrit). ENLS is designed to ensure you know what to do in the first critical hour of a neurological emergency.
It is a collection of protocols for the management of common neurological emergencies within the first hour of onset. It was created by neurointensivists from the Neurocritical Care Society and emergency physicians on a volunteer basis and improved by feedback from medical providers worldwide.
Use of ENLS is intended for all medical professionals and the protocols are provided free on-line (that’s right, it is FOAM!).
The goals of ENLS include:
- Improving the care of patients with neurological emergencies
- Providing protocols that list important steps in managing a patient with a potential neurological emergency
- Attempting to standardize emergency neurological care by consensus of healthcare providers
- Providing education to anyone dealing with neurological emergencies
- Identifying areas where research is needed to improve the care of our patients.
The online ENLS Protocols are are works of art in my opinion. I was fortunate to have access to them while they were being developed and found them exceptionally useful when preparing for the ACEM Fellowship examination. The topics include: Ischemic Stroke, Intracerebral Hemorrhage, Status Epilepticus, Subarachnoid Hemorrhage, Meningitis and Encephalitis, Airway Management including intubating a patient with high intracranial pressure, Traumatic Brain Injury, Traumatic Spine injury and Spinal Cord Compression and – of course – acute non-traumatic weakness.
As well as the protocols there is the training site that gives the background for each protocol step-by-step, includes the original manuscripts on ENLS published in the journal Neurocritical Care, provides examination of each protocol in a multiple choice format, and produces a certificate of Certification in ENLS (Edit: unfortunately this CME component is not free). Additional videos of presentations on ENLS and FAQs are included to provide additional depth of understanding. This site is designed to train any medical professional who is part of the chain of survival for patients with emergency neurological conditions. This includes Emergency Physician and Nurses, ICU physicians and nurses, and neuroscience house staff. CME credit is also offered for the course (see here for info on CME).
See what the online course looks like here.
To start with, I recommend visiting the ENLS Protocols and marveling at the beauty of complex emergency medicine reduced to it’s practical state-of-the-art essence. Enjoy!