A Novel Resource-Adapted Neurocritical Care Education Program in Tanzania: Implementation, Outcomes, and a Framework for Sustainable Training

Importance/objective: Neurologic emergencies contribute disproportionately to morbidity and mortality in sub-Saharan Africa, yet structured neurocritical care training remains limited. Emergency Neurologic Life Support (ENLS) standardizes early management of neurologic emergencies, but implementation in resource-limited settings requires contextual adaptation. Limited access to neuroimaging and monitoring compounds diagnostic uncertainty. Portable neuroultrasound (NeuroUS) offers a feasible bedside adjunct. We developed, implemented, and evaluated Tanzania's first resource-adapted neurocritical care educational program, including hands-on NeuroUS training in a low- and middle-income country (LMIC) setting.