The aim of emergency neurologic clinical examination is to recognize or exclude any problems of the nervous system requiring immediate action. The nature of the examination depends on the operational environment. At the emergency call service of a community health center a decision must first be made on whether the patient's problem is a neurologic one at all, followed by an assessment of the need of possible emergency actions and referral to hospital. At the specialized care emergency service the questions will more widely focus on the diagnostic examination strategy, selection of treatment methods and their optimally scheduled use in an appropriate operational environment.