Telenuclear medicine facilitates a timely expert interpretation of emergency nuclear medicine studies. Current, high-speed Internet connection allows nuclear medicine physicians to be on-call from their homes. Software to support telenuclear medicine is becoming more widely available, although the design of some departments makes implementation difficult. Quality control of the remote monitor requires special attention to ensure correct interpretation. Fortunately, monitor quality control can be performed quickly using relatively simple procedures. Thus, expert interpretation of emergency nuclear medicine studies is practical.