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Emergency Neurological Life Support Debut in Tokyo By Hitoshi Kobata, MD, Ph.D., FNCS The first milestone ENLS course in Japan was launched in Tokyo, Nov. 20, 2016, at the Auditorium of the Nippon Medical School Campus following the 44th Annual Meeting of the Japanese Association for Acute Medicine (JAAM). The Tokyo ENLS course was remarkably successful with a total of 142 course participants, 15 trainers, and several coordinators and assistants. From United States, Profs. Wade Smith and Romergryko G. Geocadin joined us as supervisors and trainers. Becca Stickney provided support for ENLS course management. Hitoshi Kobata worked as the program organizer. The idea to host the ENLS course in Japan first emerged in late 2014. This dream became reality under the leadership of Dr. Hiroyuki Yokota, the professor of critical care medicine at the Nippon Medical School, who also served as the Representative Director of the Japan Society of Neurological Emergency and Critical Care (JNE). As a chairperson for the annual meeting of the JAAM in 2016, he organized the International Joint Symposium on Neurocritical Care in Tokyo in collaboration with Professor Masao Nagayama and other members. The ENLS course was held on day two event of the Joint Symposium. For the live Tokyo ENLS course, a Japanese language translation of ENLS materials was needed for Japanese attendees. To accomplish this purpose, all slides and manuscripts were translated from English into Japanese by over 50 Japanese physicians, (i.e., two to five translators dedicated to work for each module). In the translation process, differences between drugs and medical resources used between the U.S. and Japan were considered and mentioned. The translated manuscript was distributed to all participants at the venue. Both Japanese and English slides were projected during the course presentation to facilitate better understanding. As of August of 2016, there was only one certified Japanese ENLS trainer. To host the live ENLS course, 12 Japanese physicians newly joined NCS and accessed the online ENLS course to become certified trainers. The last trainer achieved certification just five days before the start of the ENLS course. Most participants in the Tokyo ENLS course were physicians of a variety of subspecialties. The majority of them were board certified as acute care physicians, whereas nurses, residents, medical students and a physical therapist also attended and learned about ENLS. Immediately following the ENLS course, over 20 participants made a request to join NCS and the online ENLS course. The post-course survey showed that participants were very much satisfied with the delivering and contents of ENLS. The good news is that two live ENLS courses are planned next spring in Japan. ENLS is now widely spreading throughout Japan. Tokyo ENLS course ENLS course participants in Tokyo 7


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