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NCS Currents Sept 2016

Emergency Neurological Life Support Continues Exceptional Growth By Chad Miller, MD Emergency Neurological Life Support (ENLS), the NCS educational program for management of acute neurological emergencies, has continued to show tremendous growth and impact entering its fourth year of existence. ENLS is an instructional course intended to provide users a standardized and clinically impactful approach to neurological resuscitation for more than a dozen specific neurological emergencies. The collaborative curriculum was created in 2012 as a joint effort of a team of neurointensivists and Emergency Medicine physicians from the society.  The first revision of ENLS was released in 2015 and focused on a broader multidisciplinary approach to emergency care that included emphases on prehospital, pharmacotherapeutic, and pediatric management. Since the initial launch of ENLS, more than 3,500 providers worldwide have received certification.  Over 1,600 individuals were certified in 2015, a number that has nearly been matched in the first 6 months of 2016.  In addition to online certification, 50 live courses were held in 2015.  In the past year, live ENLS symposia have been held in Abu Dhabi (UAE), Manila (Philippines), Benglaru (India), Puerto Rico, Sri Lanka, Nepal, National Teaching Institute in New Orleans, and Society for Critical Care Medicine in Orlando.  Three of the four highest enrolling months in ENLS history have occurred within the last quarter. The clinical utility of ENLS is often anecdotally cited by its users.  These endorsements are being further corroborated by additional endorsements and research.  In March, the Joint Commission recognized ENLS as a comprehensive pathway appropriate for completion of training in cerebrovascular and neurological emergencies that is required for site accreditation. This recognition allows ENLS participation to be applied toward cerebrovascularspecific Continuing Medical Education credit for stroke care providers. NCS members Aimee Aysenne, MD and Lara Zimmermann, MD are leading the Emergency Neurological Life Support – Validation Study (ENLS-VS), a project aimed at determining educational value and knowledge retention among ENLS participants.  This study will seek to quantify the educational benefit of ENLS-naïve learners across the spectrum of training backgrounds and subspecialty disciplines.   The global reach of ENLS is about to be extended by the release of numerous non-English translations of the curriculum manuscript, algorithms, and educational slides.  A Spanish translation version is due for publication in early 2017 and a Japanese translation is also set to debut in late 2016.  Future translation projects include Mandarin, Arabic, and German.  A web tool for device-independent English versions of ENLS module algorithms will be available online in September.  This format will, likewise, be released in various language versions subsequent to the English launch.   The introduction of ENLS Version 2.0 coincided with the opportunity for ENLS users to renew their two-year certification.  Successful 4


NCS Currents Sept 2016
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