Real Time Neuromonitoring Associates - RTNA

09/24/2025

💡 Optimize your view! Keep sEMG, TOF, tEMG, and tEMG waterfall views on the same screen. This will cut down on any confusion and be informative to you, your Oversight Physician, and Surgeon.

09/23/2025

Love seeing RTNA represented in this screenshot from Saturday! Thank you Dr. Greg Schaublin and Martha Sellers for your hard work and commitment to IONM. And a huge thanks to the ASNM organizers for creating a space that encourages professional development and fosters excellence in our field!

09/17/2025

Make sure to catch our Director of Clinical Support & Collaboration, Martha Sellers, this weekend where she'll discuss the importance of EMG equipment setup for accurate diagnostics.

Martha Sellers discusses the importance of EMG equipment setup for accurate diagnostics. Proper configuration is crucial, as it directly influences data interpretation and patient outcomes.

Join us to enhance your skills in this vital area! As long as you register you will receive the full recording! Watch in the comfort of your own home.

Register today: https://asnm.memberclicks.net/fall2025

09/16/2025

Join RTNA's Dr. Greg Schaublin this weekend at to learn about EMG Pitfalls - What Does this Modality NOT Tell Us?

Greg Schaublin wraps Block 2 with:
EMG Pitfalls — What Does This Modality NOT Tell Us?
Balance your confidence with caution.
Register before it's too late: https://asnm.memberclicks.net/fall2025

09/11/2025

In some procedures such as CEAs or aneurysm clippings, your Oversight Physician will need to compare, side-by-side, baseline EEG and current EEG (pre- and post-clamping in a CEA, for example). This can be done by using the Look Back function. In Cadwell:

✅ Hover above the timeline located at the bottom of the screen. Select a time. During a CEA procedure, we'd suggest lookback traces around time of baseline or following heparinization, before clamp is placed. Talk it over with your Oversight Physician to confirm preference.

✅ Once a previous time is selected, you'll notice the timeline at the bottom of the screen will appear yellow and a status notification will confirm live or look back is enabled. Lookback traces will now appear in SSEP and EEG modalities for comparison.

✅ When you no longer have need for lookback feature, simply click the playback menu button to move data to current/real time.

09/01/2025

Celebrating the hard work and dedication of workers everywhere. Happy Labor Day!

08/21/2025

🔍 What should clean tEMG responses look like? Like this 👇 The stimulus is applied and a clear, consistent CMAP response appears in the same channel and stays there until the stimulus is decreased.

08/14/2025

⚡️ Because sEMG and tEMG use the same muscles and the same electrodes, it’s important to make sure the sEMG is quiet before testing screws with tEMG. If the sEMG is actively firing, the tEMG data becomes less reliable. The electrodes will essentially be “competing for screen time,” making it harder to tell whether a response is from the stimulation or just natural irritation firing. If you find yourself in this situation, consider communicating to the Surgeon something like: "I’m ready to test screws, but right now we’re seeing large-amplitude firing in the right hand. That will make screw testing less reliable. Let’s give it a minute or two to calm down, and then I can give you cleaner, more reliable screw data."

08/07/2025

As a Joint Commission accredited teleneurology physician practice, our focus is to deliver turnkey professional remote neurophysiological monitoring services designed to improve patient outcomes and provide our partners with superior solutions on demand. Our administrative team works to ensure this superior-quality client experience. Click here to meet our team: https://rtnassociates.com/our-team/

07/31/2025

💡Effective communication is incredibly important in the world of IONM! 🔍 What is your biggest challenge? Tell us below 👇

07/24/2025

🔍 Can you identify the source of the noise on this image of MEP data? 💡 Notice that if you count the number of noise “spikes” seen in this image you’ll see ~12 spikes in 10 divisions. Some quick math (12 spikes x 10 divisions) tells us the cycles per second = 120Hz which is a harmonic of 60 cycle noise from surrounding equipment.

Have any tips on how to identify cyclical noise from a piece of OR equipment? Tell us below ⬇️

07/16/2025

Check out this incredible before and after containing 60Hz Noise. The solution? Unplug the bed controller. How often does this happen to you? Tell us below ⬇️