The symposium provides an overview of neurological and neurosurgical medical emergencies first responders (EMS/FD) and healthcare professionals may encounter. Lectures cover the pathophysiology, diagnosis, treatment, and complications associated with each topic. Symposium topics range from acute ischemic stroke with discussions on thrombolysis, large vessel occlusion (LVO) stroke triage, and LVO stroke management, to conditions like status epilepticus, acute monocular blindness, amaurosis, CRAO, aneurysmal/AVM management, acute intracranial hemorrhage, neuromuscular emergencies, the impact of stroke on patients and families, fundamentals of neuroimaging, and strategies for localizing stroke management.