palmERpalmER Perspectives
The practice of emergency medicine, the AI and technology changing it, and notes from the team building palmER.
The Test You Didn't Order Can Still Protect You
Document why you deferred an ED test using pretest probability, pertinent exam findings, decision rules, and shared decision-making.
Your AI Scribe Wrote the Note. Did It Keep the Audio?
Your patient agreed to the scribe. You know how it drafts the note. But does it keep the audio? Here are 5 questions to ask about saved recordings.
Level 5 Work, Level 4 Chart: The 4 Documentation Gaps Costing You RVUs
99284 vs 99285 is a 1.26 wRVU gap per chart. The 4 places ED notes lose it, and one borderline chart scored both ways through a coder's eyes.
What an AI HPI Generator Actually Does in the 10 Seconds After You Stop Talking
An AI HPI generator turns the bedside conversation into a structured history in seconds. Here is what it hears, what it writes, where it goes wrong, and what you check before you sign.
You're Doing High-Complexity Work. Your Chart Says Otherwise.
Apply the 2026 ED MDM 2-of-3 rule with practical examples for problem framing, data capture, hospitalization risk, and deferred imaging.
These 5 Phrases Are Quietly Downcoding Your Charts
Labs unremarkable, patient stable, discussed with patient, will monitor, no acute findings: five MDM phrases that hide your work from coders, with the rewrites that capture it.
The Angry Patient's Chart Will Be Read Aloud in Court
Document difficult ED encounters with observable behavior, direct quotes, de-escalation steps, refusals, and care that remained available.
The Best AI Scribe for Emergency Medicine Is the One That Survives Hour Eleven
Evaluate AI scribes on your own ED cases. Track omissions, corrections, review time, and chart completion across busy and late-shift encounters.
Best AI Medical Scribe for Emergency Medicine in 2026: Beyond Ambient Scribing
Generic scribes document the visit. palmER powers your entire shift with EM-native MDM, clinical answers, consults, chart review, and discharge documents.
Audio Is Never Stored Is Easy to Say. So We Published the Code.
palmER published the code behind its transcription and speaker-identification stack so clinicians, hospitals, and developers can inspect how encounter audio is handled.