Under which clinical scenarios do you consider an inpatient EMG?

From my personal practice, inpatient EMG requests most often come at the behest of the neurology inpatient or neurology consult team, and very seldom, if ever, come from other primary teams. As such, having an initial neurological evaluation to "vet" the requests' appropriateness for inpatient versus outpatient testing, I find, is quite valuable to ensure that the test would provide management-changing information. With that said, I think that inpatient studies should be considered when A) it is felt the test will change acute management or B) a serious neuromuscular condition (not necessarily acute) should be confirmed as to avoid delay in diagnosis.

Common clinical concerns prompting consideration for inpatient EMG requests, in my experien...