Enter the ENLS Protocols


Emergency Neurological Life Support (ENLS) is a series of protocols suggesting important steps to take in the first hour of a neurological emergency. ENLS is designed to help healthcare professionals improve patient care and outcomes during the most crucial time - the critical first hours of the 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.  These emergencies 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.

About ENLS

What to do in the first critical hour of a neurological emergency

ENLS is a collection of suggested approaches to the management of common neurological emergencies within the first hour of onset. ENLS was created by neurointensivists and emergency physicians on a volunteer basis and improved by feedback from physicians, nurses, pharmacists and other health professionals worldwide. Use of ENLS is intended for all medical professionals and is provided free on-line.

The goals of ENLS include

ENLS was created by members of the Neurocritical Care Society in cooperation with leaders from Emergency Medicine. These topics are simply practical guides that should not dictate care in any particular patient. See our legal disclaimer.

Duplication or representation of ENLS without the authorization of the Neurocritical Care Society is prohibited. If you would like such permission please email The Neurocritical Care Society.

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