What to Do in the First Critical Hour of a Neurological Emergency

Saturday October 29, 2016
Critical Care Canada Forum 2016
Toronto, Ontario
Course Directors: Drs. Victoria McCredie & Jeffrey Singh
Faculty: Drs. Martin Chapman, J. Gordon Boyd, Houman Khosravani

Program Overview

Emergency Neurological Life Support (ENLS) is a practical course designed to help healthcare professionals improve patient care during the first critical hours of patients’ neurological emergencies through a multi-disciplinary approach. ENLS covers thirteen key topics such as traumatic brain injury, spinal cord injury, ischemic and haemorrhagic stroke and intracranial hypertension and herniation. Each topic is presented with a multidisciplinary focus and organized using a consistent set of protocols, practical checklists, decision points, and communication tools. The program is developed and managed by Neurocritical Care Society, an independent non-profit organization, and will be delivered by an expert group of Neurointensivists from across Canada.
Participants will receive access before the course to an on-line library of ENLS materials with slides and podcast to supplement their learning and aid in consolidation of knowledge. All participants will also receive access to the online certification examination should they wish to become certified in ENLS by the Neurocritical Care Society following the course.

Target Audience

This course is ideal for any health care providers who are involved in the care of the acutely ill and critically ill patient who wishes to become more comfortable and competent in the management of neurological emergencies. It would be highly useful to physicians, nurses, advanced practice nurses/nurse practitioners, physician assistants and other professionals who treat neurological emergencies.


  • To improve the care of patients with neurological emergencies
  • To provide protocols and flowcharts listing important steps in the management of a patient with a potential neurological emergency
  • To standardize emergency neurological care


Time Duration Topic Instructor
07:30-08:00 30 Registration and Breakfast
08:00-08:15 Welcome and Introduction to ENLS
08:15-08:45 30 Stroke Acute Ischemic Stroke J. Gordon Boyd
08:45-09:15 30 Intracerebral Hemorrhage Houman Khosravani
09:15-09:45 30 Subarachnoid Hemorrhage J. Gordon Boyd
09:45-10:15 Hands-on small group learning sessions
10:15-10:45 Morning Break
10:45-11:15 30 Coma & Weakness Approach to the Patient with Coma Jeffrey Singh
11:15-11:45 30 Status Epilepticus Houman Khosravani
11:45-12:15 30 Meningitis and Encephalitis Victoria McCredie
12:15-12:45 Hands-on small group learning sessions
12:45-13:45 Lunch Break
13:45-14:15 30 Trauma & Spinal Cord Injury Intracranial Hypertension Jeffrey Singh
14:15-14:45 30 Traumatic Brain Injury Victoria McCredie
14:45-15:15 30 Traumatic Spinal Cord Injury Martin Chapman
15:15-15:45 Hands-on small group learning sessions
15:45-16:15 Break
16:15-16:45 30 Miscellaneous Resuscitation following Cardiac Arrest Victoria McCredie
16:45-17:15 30 Airway, Ventilation, and Sedation Martin Chapman
17:15-17:30 Wrap Up