About ENLS

What To Do in the Critical First Hours of a Neurological Emergency

The Emergency Neurological Life Support (ENLS) course is designed to help healthcare professionals improve patient care and outcomes during the critical first hours of a patient’s neurological emergency. Now in its fifth version, 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.

ENLS - Introductory Video


ENLS consists of 14 protocols:

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

Each protocol was designed and written by neurointensivists 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?” Click here to learn more about the ENLS curriculum.

Course Options

ENLS is a versatile course that can be taken either online or in a live course format.

Self-Directed: Taking ENLS online is a great option for the busy healthcare provider. Individuals or organizations can purchase the course online, and participants can progress through the modules at their own pace.

Instructor-Led: The live ENLS course is a great addition to a conference or healthcare institution's continuing-education offerings. The course is conducted by certified ENLS trainers. All attendees are provided access to the online course and materials. Once the live course is complete, students access the Self-Directed ENLS course online to complete their certification. Click here for more information about hosting a live course.

Group Purchases

For both online and live courses, healthcare facilities and medical schools can take advantage of reduced group pricing rates by purchasing a bundle of 25 or more ENLS course access codes. Click here for more information about group purchases.


NCS's ENLS courses have been planned and implemented by Ciné-Med and the Neurocritical Care Society. This activity is designated for a maximum of 15 AMA PRA Category 1 CME, ANCC, and ACPE credits upon completion. For detailed information on continuing education credits and NCS's joint provider accreditation, including the number of credits and/or hours are awarded for both ENLS and ENLS Recertification, please click here


To gain ENLS certification, the online portion of the course must be completed. This involves passing the 14 exams with a score of 70% or higher. ENLS certification is valid for two years, during which an individual retains access to their ENLS account and course materials. Click here to enroll (or click here for a step-by-step guide).


Certification can be renewed by completing the ENLS Recertification Course. This course includes medical updates and module additions to the original course's manuscripts and protocols. To gain ENLS recertification, the online portion of the course must be completed. This involves passing the 14 exams with a score of 70% or higher. Click here to enroll (or click here for a step-by-step guide).

ENLS Courses Around the World


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