NeuroMonitoring

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Tuesday, January 10, 2012

A real life incident, a 34 year old woman jumped off 4th floor in what reported to be an attempt to commit suicide,  on the way down she fell on a steel bar that pierced through her pelvis, left buttock and a whole trajectory the bar is shown in pictures and illustrations here in the original article linked below, you can read the rest of the medical and surgical teams intervention. A team of doctors performed surgical procedure and removed the bar, there seems to be no neurological or neurovascular complication reported below, sounds like a miraculous escape from death and paralysis of this lady. I do not think the team employed intraoperative neuromonitoring to this procedure. The woman seems to be alive, and doing well, it all sounds like a fiction movie, but fortunate lady and great team of surgeons saved her life.
 A piercing or penetrating injury of the pelvis by a steel bar is a rare condition compared with piercing or penetrating injuries of the extremities. We report the case of a 34-year-old woman who attempted a suicidal fall that resulted in the piercing of the pelvis with a long steel bar. The steel bar entered the pelvic cavity from the left buttock through the sciatic notch and was bent at the middle of the pelvic cavity between the bladder and rectum. At the right hip joint, the rod penetrated the posteromedial aspect of the femoral head, was bent again, and extended straight along the medial border of the femur without damaging the femoral neurovascular bundle. At the middle one-third level, the bar spanned in a posterolateral direction and then down toward the lateral aspect at the level of the mid-calf. The bar exited the lateral side of the left calf.
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Search about: Neuromonitoring

NeuroMonitoring Companies: Europe

Providers in Europe:
Intraoperative Neuromonitoring Practice at UniversitatsSpital Zurich:

NeuroMonitoring Suppliers in Europe:
1.CPS Medical: NeuroCode AG

NeuroMonitoring Supplier in Russia:
1.Neurosoft, Medical Diagnostic Equipment
Worldwide Distribution list

IONM in New Zealand:

What are the chances of getting a job?

Opportunities to get into neurophysiology technologist jobs are very limited, as there are only 20 neurophysiology technologists employed in New Zealand.

IONM in Switzerland:
Anandic Medical Systems a local Swiz company with GE Partnership that does neuromonitoring and neonatal pediatric neuromonitoring monitoring.

Medical/Health Care: Insurance Companies and IONM Policies, in their Eyes!?

Here is what the insurance Co Anthem Blue thinks about what is medically necessary or investigational as per their policies!

BlueCross BlueShield of Tennessee Medical Policy Manual

  • Intraoperative neurophysiologic monitoring, including, but not limited to the following: Somatosensory-evoked potentials, brainstem auditory-evoked potentials, visual-evoked potential, EMG, motor-evoked potentials, and EEG, when performed during spinal, intracranial, or vascular procedures, is considered medically necessary if the medical appropriateness criteria are met. (See Medical Appropriateness below.)

  • Intraoperative neurophysiologic monitoring for other indications is considered investigational.

  • Any device utilized for this procedure must have FDA approval specific to the indication, otherwise it will be considered investigational. See also: Visual and Auditory Evoked Potential

Beware:- Do We Need this column?

Moved from Main page:-
Do Not Become victim to some New Org, association or society...! WARNING:- Be careful in signing up to some rogue organizations and memberships, You must realize that even professionals become prey for such tactics of bottom feeders, just think before you pay that fee, do we need another neuromontioring group, or organization or association bullshit?. They do not deserve to be even in the radar of scientific and medical communities, sorry!!!. I can only alert you, the rest is in your own hands, just because some one claims to have done or do the same kind of job a Professional and trained scholar can do, it means a jack shit!!!?, A doctor and a Doctarate cannot be replaced, those who claims to be doing some jobs can do something, but be careful to assess or compare it to a Doctor or Doctorate, such comparison will fail!!!. Society for Neuroscience and American Association of Anatomists are some of the most respectable and reputed scientific organizations, I dropped off my membership mainly because of their increased fees, I thought it was unjustified and unreasonable, but my respect to those two organizations will never be altered, they deserve great respect for what they do. Tthis message is not about such great associations, on the other hand it is about some rogue individuals trying to con the school students in IONM field or undergraduates who call themselves to be a neurophysioliogist??.Do not think that all the scientific or clinical organizations out there deserve the same respect like that of society for neuroscience or American association anatomists or American clinical Neurophysiologists or least they do the right things!!. Oh wait that is for those established organizations are out there already not for some rogues, but I have been seeing some internet activities of some rogue and decorated Neuromonitoring associations and societies trying to sprung up, just be careful about such org.The above message I had put up on my LinkedIN is to alert you, there are only a couple of Neuromonitoring associations established and in business already and they are good enough, we do not need every tom, dick and harry who did not even go to graduate school to start a association in the name of he or she is a tech for 10000 surgical cases, a Doctor and Doctorate cannot be replaced and there is no exception to it, so beware about rogue people starting societies and organizations and do not waste your hard earned money and resources to it...... stick to the deserved.