Emergency Neurological Life Support (ENLS), an educational program to provide users with a series of protocols regarding management for the first hours of a neurologic emergency, was translated into Japanese and onsite ENLS courses were held in Tokyo and Asakadai. We investigated trainee satisfaction with the ENLS course using a post-course survey. The majority of trainees were physicians with board certification; acute care medicine or intensive care medicine was the most common. Most trainees were satisfied with the course especially related to their interest or specialty. Top scores for usefulness were Pharmacotherapy, Resuscitation Following Cardiac Arrest (RCA), and Acute Non-traumatic Weakness (ANTW) in Tokyo and Status Epilepticus, Intracranial Hypertension and Herniation, and RCA in Asakadai, respectively. Top scores for difficulty were ANTW, Pharmacotherapy, and Coma in Tokyo and Pharmacotherapy, RCA, and Meningitis and Encephalitis in Asakadai, respectively. With improved recognition and understanding of the differences between the medical systems in Japan and the United States, the knowledge gained during ENLS training will help to standardize the management of neurologic emergencies and contribute to obtaining better outcomes globally.
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