ENLS 6.0 - Introduction

Changes in ENLS Version 6.0

The ENLS program was designed to be updated to reflect best practice. Accordingly, trainee and ENLS instructor feedback is highly valued. This feedback has been incorporated to help shape ENLS Version 6.0. The ENLS Version 6.0 content has been updated acknowledging the multidisciplinary and collaborative chain of care from prehospital providers, nursing and pharmacists to physicians and advance practice providers in various specialties caring for adult and pediatric neurocritical patients. Special attention is paid to the pregnant patient when applicable.

Independent algorithms for resource limited settings were designed with direct input and leadership from colleagues who practice in these settings. Our intent was not to address all the variations in international practice for each disease state but to be more inclusive to global practice variations. To further enhance the content and make it relevant to a broad multidisciplinary and international audience, four working groups, namely pharmacists, nursing, pediatric neurointensivists and global physicians, reviewed each manuscript and provided suggestions for content. We encourage learners to use the ENLS algorithms as a framework on which any relevant local practice guidelines can be incorporated.

Highlights of ENLS Version 6.0

• A new module – BRAIN: Broad Reaching Acute Interventions in Neurocritical Care – focuses on neurological emergencies when resources are unavailable, both pre-hospital & in geographically resource limited regions.
• Updated diagnostic, management algorithms & checklists of “to-do” items in the first few hours of neurological emergencies.
• New resource limited ENLS algorithms.
• Revised pharmacotherapy manuscript with relevant medications as well as the addition of alternative medications to reflect global variability.
• Updated cases added to each manuscript.
• Revised assertion evidence format for slide decks has proven to be an effective way to learn technical information.
• Added cross references between modules for related topics.
• Attention to both internal consistency amongst manuscripts & external consistency with published guidelines from the Neurocritical Care Society as well as other societies involved in emergency & critical care of patients.