Advanced Stroke Life Support for paramedics, nurses, and stroke teams. Learn online at your own pace, then pass a hands-on skills test in Reno and get your eCard the same day.
Sierra BLS is a great place in Reno to get your BLS, ACLS, etc. Terry is a brainiac, patient, eager to see others “get it” and his mega codes are truly a group effort, capitalizing on each participant’s skill set.
I have over 45 years of nursing which required BLS, PALS, ACLS + AED. I can honestly state that Terry’s class was one of the best in all of my history. His presentation is clear, concise + meaningful.
I am a local resident physician who recently renewed bls/acls with Sierra BLS and I highly reccomend them. They are very professional and efficient. The one on one customer service experience is excellent.
You can tell Terance genuinely cares about his students’ success. Such a professional and supportive environment... As a ICU nurse I recommend the BLS & ACLS classes!
Our team was due for BLS and ACLS. They were very flexible and accommodating with our schedule. Terance was knowledgeable and fun to work with. We will be using them again.
I highly recommend this company if you’re looking to get your BLS/ACLS. The instructor, Terrance is extremely knowledgeable and a great teacher. He’s very patient and understanding, and he will make sure to have all of your questions answered by the end of the day.
Tap Register on any date to book online. Dates update live from our schedule.
All ASLS skills tests meet at 255 W Moana Ln, Suite 200 in Reno, an easy drive for EMS crews, nurses, and stroke teams from Sparks, Carson City, Fernley, and Lake Tahoe.
Need a day that isn't listed? Text (775) 235-2117 to ask about a custom date.
ASLS is a blended American Heart Association course. You learn online on your own schedule, then prove your skills in person with one of our instructors.
Pick a date above and register online. Your confirmation email includes your precourse instructions.
Complete the ASLS online course in your track at your own pace, then print your certificate of completion.
Demonstrate your stroke scale and manage stroke cases with an ASLS instructor. Pass, and your eCard is issued the same day.
Fast recognition, the right destination, and a clear handoff change what happens next for your patient. ASLS trains you to do all three.
On average, someone in the US dies of a stroke every 3 minutes and 14 seconds.
Americans die of stroke every day.
US stroke deaths in a single year.
Source: American Heart Association, 2026 Heart Disease and Stroke Statistics, based on 2023 US data.
The AHA offers ASLS in three tracks. Pick the one that matches where you care for stroke patients.
For EMTs, paramedics, and flight crews. When to call a stroke alert, fast transport to the nearest appropriate facility, and a clear handoff of symptoms, time of onset, and exam findings.
For emergency department, ICU, and stroke unit teams. An organized approach to stroke care, management goals for ischemic stroke and brain bleeds, secondary prevention, and post-acute care.
Everything in both tracks. Best if you work in both settings, or if you plan to become an ASLS instructor.
Our instructors are trained in the combined track, so we can test you in any of the three. Online times are AHA estimates.
The AHA ASLS skills test has three parts. Pass all three and you leave with your ASLS Provider eCard.
Perform the stroke scale you use in practice on a simulated patient, showing every component with the correct technique.
Examine a patient with a stroke syndrome or a stroke mimic. Identify the findings, the score, the syndrome, and the right destination.
Treat a patient with a stroke or a stroke mimic, using what you learned in the online course.
You will demonstrate the stroke scale you use at work, such as the NIHSS or your EMS agency's stroke scale, so come ready to perform it.
Spot stroke and common stroke mimics quickly, in the field or at triage.
Perform a reliable, complete stroke scale and document what you find.
Connect exam findings to the stroke syndrome in front of you.
Get each patient to the right facility within your stroke system of care.
Report symptoms, time of onset, and exam findings clearly and concisely.
Management goals for ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage.
Stroke care runs from the first 911 call to the stroke unit. Our ASLS skills tests are built for both sides of that handoff, so EMS crews and hospital teams train to the same standard right here in Reno.
Pass your skills test and your AHA ASLS Provider eCard is issued the same day.
Taught by experienced AHA instructors with prehospital, flight, and critical care backgrounds.
Our combined-track instructors can test prehospital, in-hospital, and combined students.
More time on your stroke scale, and more time for your questions.
The AHA online course carries CE credit, and we are an approved Nevada State Board of Nursing CEU provider.
Private ASLS skills sessions for emergency departments, stroke units, and EMS agencies.

The American Heart Association eCard is your official ASLS credential. It arrives by email the day you pass, and employers can verify it online in seconds.
ASLS is for advanced healthcare providers who manage patients with acute stroke, in the field and in the hospital. The AHA notes it meets the education requirements for Stroke Center Certification.
Renewing ACLS too? Stroke is part of ACLS, so the two pair well.
See ACLS datesAdvanced Stroke Life Support (ASLS) is the American Heart Association's stroke course for prehospital and in-hospital healthcare professionals, developed with the University of Miami Gordon Center. It trains you to identify, evaluate, and manage patients with stroke.
Both. ASLS is a blended AHA course. You complete the online portion at your own pace, then finish with a hands-on skills test in our Reno classroom. The AHA offers ASLS only in this blended format.
Choose prehospital if you work in EMS, in-hospital if you work in the emergency department, ICU, or a stroke unit, and the combined prehospital and in-hospital track if you work in both settings or plan to become an ASLS instructor. Not sure? Ask your employer, or text us and we'll help you pick.
The AHA estimates the online portion at about 3 to 6 hours for prehospital, 4 to 8 hours for in-hospital, and 5 to 9 hours for the combined track. The hands-on skills test is done in one visit to our Reno classroom.
Your AHA ASLS Provider card is valid for 2 years from the issue date.
No. The AHA does not require a current BLS or ACLS card to take ASLS. Many employers still require both, and we offer them here.
No. According to the AHA, ASLS does not take the place of NIHSS training. If your job requires NIHSS certification, keep it current separately.
Yes. The AHA lists CE credit for the ASLS online course that varies by track, up to 8.0 ANCC nursing contact hours or 6.75 CAPCE hours on the combined track. We are also an approved Nevada State Board of Nursing CEU provider.
The AHA states that ASLS meets the education requirements for Stroke Center Certification. Check with your stroke coordinator for your facility's specific requirements.
Pick a date at the top of this page and tap Register to finish on our secure checkout. Registration and payment are online only, so we can't take them over the phone.
Contact us before your skills test. ASLS reschedules are $50, and all purchases are nonrefundable. If you arrive without your online course certificate of completion, you won't be able to test and will need to reschedule. Full details are in our terms and conditions.
Yes. We schedule private ASLS skills sessions for emergency departments, stroke units, and EMS agencies. Text or call (775) 235-2117 to set one up.
Yes. Hinson CPR is the new name for Sierra BLS. Same owner, same classroom on Moana Lane, and the same American Heart Association Training Site.
The American Heart Association strongly promotes knowledge and proficiency in all AHA courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the AHA. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the AHA.
Rated 5.0 stars on Google from more than 330 student reviews.
This is by far the easiest recertification class I’ve done. By that I mean efficient content, flexible scheduling, and actually educational... Terrance is a great teacher, knows his stuff, and taught me real-life applications on top of the recertification-required knowledge.
My husband and I just completed our renewal for BLS and ACLS training there and had a great experience. He worked with us based on our comfort level and prior knowledge... You can tell he genuinely cares about his work and the community he serves.
The instructor for my ACLS initial Certification made it very easy to understand. He truly has a gift for teaching & this is my official place to get my recertifications moving forward!
Always a great experience getting BLS or ACLS here. Trainers are super helpful and friendly. The price is very competitive. Definitely will be coming back.
Great class availability and format of the content presented for ACLS renewal. The instructor was excellent and very informative. I will use Sierra BLS for future renewals!
Very easy to make appointment even at last minute. Instructor was personable and explained everything clearly. I would recommend them for anyone who needs to complete there ACLS certification.
Book your ASLS skills test, finish the AHA online course at your own pace, and leave with your eCard the same day.