![]() Overall, residency programs maintain a mean of 12.0 (±) 5.9 hours of lecture hours focused on neurologic emergencies annually, making up 4.6% of the total Accreditation Council for Graduate Medical education requirement of the 260 annual hours of educational experiences outside of clinical duties. 4 Of those requiring such a rotation, only one‐half require time in the neurologic intensive care unit (NICU). Among EM residency programs in the United States, 34.7% have a required neurology or neurosurgery rotation. In spite of the advances and evolution in our understanding of the treatment of neurologic emergencies, formal training in neurologic emergencies among EM residency–trained EPs appears limited and the extent of such training availability is variable. 3 Many of these novel treatments, such as thrombectomy for large‐vessel occlusions and the introduction of the extended window for thrombolysis, rely significantly on the timely clinical assessment and management by EPs, making the effective training of EPs in the evaluation and management of this diverse range of neurologic emergencies critical to the success of patient outcomes. ![]() ![]() Furthermore, advances over the past decade in the management of common life‐threatening neurologic emergencies, such as ischemic stroke, have resulted in recent changes in the guidelines and evidence‐based recommendations for the management of neurologic emergencies in the ED. From the creation of neurocritical care as a subspecialty with emergency medicine (EM) eligibility for fellowship to the creation of acute stroke ready, primary, thrombectomy‐capable, and comprehensive stroke centers, EPs stand at the forefront of these advances in neurologic emergencies. The past decade has seen an explosion of novel and innovative approaches to managing and treating acute neurovascular and neurocritical diseases. EPs play a vital role in the acute evaluation and administration of time sensitive interventions in many of these life‐threatening neurologic emergencies. 2 Emergency physicians (EPs) encounter a broad spectrum of life‐threatening neurovascular and other neurocritical care conditions, ranging from ischemic and hemorrhagic stroke to traumatic brain injury and status epilepticus. 1 Neurologic complaints make up a significant proportion of all emergency department (ED) visits, comprising over 5% of total visits across United States EDs. Globally, neurologic disorders are the second leading cause of death (16.8%) and the leading cause of disability‐adjusted life‐years. ![]() Neurologic disorders are a significant cause of morbidity and mortality worldwide. ![]()
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