palmERBest 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.
Generic scribes document the visit. palmER powers your entire shift.
Your shift is coming to an end. You still have active workups, consultants to call, MDMs to write, and patients waiting for discharge instructions. That is the work palmER was built to handle.
Keep your patients organized in one place, paste a chart to build the MDM with clinical reasoning included, prepare a consult call, and generate the documents the patient needs to leave. Every tool comes in one subscription.
Try every palmER tool free for 30 days. No credit card. No automatic billing.
Buy help for the whole shift
A scribe earns its place by taking work off your plate. With palmER, that starts at the bedside and keeps going:
- Listen to the patient. Ambient Scribe drafts the HPI and Physical Exam while you focus on the encounter.
- Keep the workup moving. Return to each active patient after an interruption, ask clinical questions with the case in context, and use the integrated palmEM reference.
- Make the consult call. ConsultER prepares a focused script, so the key details are ready when the consultant answers.
- Document the care you delivered. palmER spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes.
- Get the MDM written. Paste your chart into the MDM Assistant. It builds the clinical reasoning, differential, data reviewed, risk, and disposition rationale in seconds.
- Finish. Review documentation gaps with Chart CheckER, then generate patient instructions, work notes, and school notes.
You review the note and paste it into your EMR. The same workflow works wherever you practice.
How 11 alternatives compare
These are the buying distinctions that matter when you want a tool for your own ED shift. The linked comparisons include current vendor sources, feature details, pricing, and retention terms, reviewed September 11, 2026.
| Alternative | Its focus | The case for palmER |
|---|---|---|
| Cleo Health | Documentation and organization-configured clinician feedback; ED MDM available | Your MDM, consult calls, chart review, and patient documents in one workspace, with a fixed 24-hour patient-data limit |
| Abridge | Hospital-purchased documentation across specialties | Direct access to dedicated emergency medicine tools beside any EMR |
| Ambience | Hospital documentation and coding; ED MDM available | Start the full workspace yourself, carry it across sites, and keep the same patient-data deletion policy |
| Dragon Copilot | Multi-specialty documentation sold through representatives and partners | Your own ED workspace, a full-access trial, and patient data deleted within 24 hours |
| Suki | EHR-connected documentation across specialties | Dedicated ED MDM, consult preparation, chart review, and patient tracking in one subscription you can start directly |
| Commure | Hospital ED documentation; separate self-serve outpatient Scribe product | Direct access to the EM-native MDM and whole-shift tools, with no ambient audio stored |
| Nabla | Multi-specialty ambient documentation | Dedicated MDM, consult, discharge, and pre-sign review tools built around the emergency clinician |
| Freed | Visit scribing, including ED | Structured chart-to-MDM, active workups, consult scripts, and pre-sign chart review |
| Heidi | Multi-specialty scribing and note templates | Dedicated tools for the MDM and recurring ED shift tasks, ready in one workspace |
| Doximity Scribe | Free scribing for eligible verified U.S. clinicians | A subscription that tackles the MDM, consult, chart-review, and discharge workload |
| DeepScribe | Specialty documentation marketed around oncology; ED also supported | A clinician-direct workspace built around emergency and urgent care |
Try palmER on your own shifts. Every tool is included, and you can use it beside any EMR.
The subscription is about the work you get back
palmER is $199/month for unlimited access to every tool. Approved students and residents get the same unlimited access for $49/month after verification.
A free scribe sounds great. It doesn't put a value of zero on the time you still spend finishing charts. Put palmER to work on those tasks during the full-access trial: the difficult MDM, the consult call, the chart review, and the discharge paperwork.
On your next few shifts, track the time you spend reviewing and finishing each chart, the documents you complete in palmER, and the work still waiting when your shift ends. That is a concrete way to see what the subscription returns to you.
Your signed chart stays. Patient data in palmER expires.
palmER never stores ambient audio. Transcripts, drafts, edits, and clinical questions automatically delete within 24 hours. Patient data is never used to train AI models. You control what enters the permanent record through reviewed copy and paste.
Read how palmER handles patient data or compare what AI scribes retain.
For a closer look at audio handling, see palmER's open-source medical transcription stack and the code behind it.
Your next shift is the place to start
Start with your next patient. Scribe the encounter or paste your chart, build the MDM, and use palmER to finish the work around it.
Start your 30-day free trial. Every tool included. No credit card. No automatic billing.
Frequently asked questions
- What is the best AI medical scribe for emergency medicine?
- palmER was built for the entire emergency and urgent care shift: ambient notes, EM-native MDM with clinical reasoning, multiple active workups, clinical answers, consult preparation, chart review, and discharge documents. Try every tool free for 30 days, with no credit card and no automatic billing.
- Do AI scribes write the ED MDM?
- Yes. Paste your chart into palmER to build a structured MDM with clinical reasoning, differential, risk, data reviewed, and disposition rationale included. You do not need to write out the reasoning first. palmER also covers the rest of the shift: clinical questions, consult calls, discharge papers including work and school notes, and a pre-sign chart review.
- Are AI medical scribes HIPAA compliant?
- Many AI medical scribes describe themselves as HIPAA compliant and offer BAAs, but that does not tell you what happens to your data. Ask what is stored, for how long, whether it is used to train AI models, and what remains outside the chart. palmER does not store encounter audio, and patient data automatically deletes within 24 hours.
- Can I use an AI scribe without a hospital deployment?
- Yes. Some AI documentation tools are deployed through hospitals and health systems, while others are available directly to individual clinicians. palmER can be started directly and works alongside any EMR without requiring an integration project.