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Emergency Neurological Life Support (ENLS)

** Important: the ENLS Course is ONLY for those who have never been certified.
If you have completed ENLS certification before, you MUST enroll in the ENLS Recertification Course instead! **

Welcome to the Neurocritical Care Society's Emergency Neurological Life Support Course!
Thank you for enrolling in NCS's ENLS course. This course is comprised of 14 protocols and reference topics. Each protocol was designed and written by neuro intensivists 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?”. This online course will give you the relevant background to these protocols so you feel more comfortable using them in practice.

Course structure (click to view)

ENLS is comprised of 14 modules:
  • Acute Ischemic Stroke
  • Acute Non-Traumatic Weakness
  • Airway, Ventilation and Sedation
  • Approach to the Comatose Patient
  • Intracerebral Hemorrhage
  • Intracranial Hypertension and Herniation
  • Meningitis and Encephalitis
  • Pharmacotherapy
  • Resuscitation Following Cardiac Arrest
  • Spinal Cord Compression
  • Status Epilepticus
  • Subarachnoid Hemorrhage
  • Traumatic Brain Injury
  • Traumatic Spinal Cord Injury

Each module includes the following:
  • Learning Objectives and Protocol Summary: broad overview of the topic, with algorithm and checklists
  • Manuscript: research-based, published article of the topic
  • Lecture Slides
  • Lecture Video
  • Certification Quiz: multiple attempts allowed, as well as re-takes after passing
Students will have unlimited access to these materials during the 24-month enrollment period.

ENLS Pricing (click to view)

  • Groups of 25 or more total participants, or 5 or more residents/students/fellows, qualify for a 50% discount. 
  • Click here to view a list of World Bank Group A and B Countries.

Certifying in ENLS and Claiming CE credit
(click to view)
Certification is achieved when each exam is passed with a score of 70% or higher, with unlimited retakes, and after a certification survey is completed - this is where up to 15 continuing-education credits may be claimed.

Upon successful completion of the course exams and survey, a certificate will be generated. You will have the option to download the ENLS Certificate and CE Attestation for your records, and it will also continue to be available within your profile. You will be eligible to enroll in the ENLS Recertification Course and recertify at 22 months.
NCS provides certification information to the accrediting accredited provider on a monthly basis. All content is the copyrighted material of the ©2015 Neurocritical Care Society.

Hardware / Software Requirements
An internet connection speed of at least 4Mbps and a modern browser
Modern browsers have a built in PDF reader which would be necessary for you to view your completion certificates

CME Overview
Release Date: October 1, 2015
Reviewed and Updated: August 1, 2021
Expiration Date: September 1, 2022

Target Audience
This activity is designed for all health care providers who 1) may encounter or 2) provide care for patients with neurological emergencies in the first hour of their emergency care, including paramedics, emergency department physicians, critical care physicians, neurosurgeons, nurses, pharmacists, medical students and resident/fellow trainees.
Learning Objectives
After completing each topic, the learner will be able to: (1) recognize the signs and symptoms of the neurological emergency, (2) perform a focused neurological exam and calculate the Glasgow Coma Scale (GCS) score, (3) rapidly implement the recommended management protocol, and (4) effectively communicate pertinent medical information to the accepting health care provider.

Each topic also has specific learning objectives unique to the topic that the learner will master.

Activity Goal
This activity is designed to address the following core and team competencies:
Patient Care, Medical Knowledge, Practice-based Learning, Interpersonal Communication, Professionalism, System-based Practice, Interdisciplinary Teams, Quality Improvement, and Employ Evidence-based Practice.

Non-Endorsement Statement
The accredited provider verifies that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. The accredited provider does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

The accredited provider adheres to accreditation requirements regarding industry support of continuing medical education. Disclosure of the planning committee and faculty's commercial relationships will be made known at the activity. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.
All accredited provider employees, NCS planners and authors in control of content have indicated that they have no relevant financial relationships to disclose.

The following content providers have indicated that they have no relevant financial relationships to disclose:
Rhonda Cadena, MD; Anna Finley Caulfield, MD; Brian L. Edlow, MD; Jonathan Elmer, MD; Oliver Flower, MD; Rachel Garvin, MD; David F. Gaieski, MD; Noah Grose, BSN, MSN; Hartmut Gross, MD; J. Claude Hemphill III, MD; Ricardo Hernandez, MD; William A. Knight IV, MD; Arthur Lam, MD; Halinder S. Mangat, MD; Kristine H. O’Phelan MD; Jose A. Pineda, MD; Kees H. Polderman, MD, PhD; Venkatakrishna Rajajee, MD; Jonathan J. Ratcliff, MD; Becky Riggs, MD; Owen Samuels, MD; Aarti Sarwal, MD; David B. Seder, MD; Deborah M. Stein, MD; Shahana Uddin, MD.

Disclosed Relationships:
Gretchen M. Brophy, PharmD – Speaker's Bureau & Consultant - UCB Pharma, Chiesi;
Research Grant - Mallinckrodt; Consultant - SAGE; Jan Claassen, MD, PhD – Study Planning - SAGE; Research Grant - DANA Foundation; Joshua N. Goldstein, MD, PhD – Research Grant - Pfizer, Portola, Boehringer Ingelheim; Medical Monitoring - Pfizer; Clinical Trial Enrollment - Portola; Theresa Human, PharmD, PhD - Speaker's Bureau - UCB Pharma, Chiesi


In support of improving patient care, this activity has been planned and implemented by Cine-Med, Gladwell CME, and the Neurocritical Care Society. Cine-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Ciné-Med designates this enduring material for a maximum of 15 AMA PRA Category 1Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity provides 15 contact hours for nurses.

This activity has been accredited for 1.5 CEU (15 credit hours) of continuing education credit.
Physicians can claim credit for this activity if they have already completed the ENLS Certification module and feel they would benefit from this module’s content. It is the physician’s ethical responsibility to claim credit appropriately.

This continuing education activity is approved by the Commission on Accreditation for Prehospital Continuing Education (CAPCE) Course #: 19-NCCS-F3-6054 for 15.00 Advanced CEH.

This activity was developed independent of industry support.

Please click here to view the NCS Legal Disclaimer for Emergency Neurological Life Support (ENLS).