author(s)
Deepika Selvakumar and Dr. Stephen Prakash Aruldoss

abstract
Effective neurological management begins with a rigorous, systematic assessment to guide clinical reasoning and patient-centred goal setting. This protocol details a standardized approach for managing neurological emergencies in the resuscitation room, beginning with rapid consciousness screening via the AVPU scale and Glasgow Coma Scale (GCS). Following initial stabilization, a comprehensive ABCDEFGH survey is employed to address both systemic and neurological variables, ranging from airway protection to glycaemic control. The protocol concludes with a diagnostic pathway focused on neuroimaging, directing nurses and clinicians toward time-sensitive interventions such as thrombolysis for infarcts or emergency stabilization for haemorrhages. This structured framework ensures the immediate identification of life-threatening conditions while establishing a baseline for long-term recovery.