Nabla Review: Is It Built for the ED?

Chart context still has to cover the shift

palmER is built by emergency medicine physicians around the tasks that continue after the note: an ED MDM, active workups, consults, chart review, clinical reference, and discharge documents. It is available directly, works beside any EMR through copy and paste, and gives clinicians the full Suite for 30 days.

Nabla offers ambient documentation with chart context and EHR export across specialties. For emergency medicine, look at where the MDM and the other unfinished tasks fit.

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Compare what each covers on an ED shift

palmER puts the MDM and surrounding shift tasks in one emergency medicine workspace. MDM Assistant organizes clinical reasoning, differential, data reviewed, risk, and disposition from the chart you paste, while Patient Mode, ConsultER, Chart CheckER, DischargER, and palmEM AI Reference cover the work around it.

Nabla's homepage describes chart context and coding support, and its specialty help article includes Emergency Medicine. Those pages do not describe an ED-specific MDM structure or a workspace for tracking several active ED workups.

Nabla's EHR page describes an embedded iFrame, chart-context retrieval, structured note export, and direct insertion into chart fields. It names Epic, Oracle, Greenway, and NextGen across the current material. Those integration details matter when evaluating deployment requirements.

The MDM is the part of the chart that keeps changing

Emergency medicine documentation grows as the workup develops. The final MDM needs to explain the differential, data reviewed, risk, clinical reasoning, reassessment, consultant input, and disposition. A note generator that handles the first conversation does not automatically organize those decisions.

palmER's MDM Assistant builds a structured MDM from the chart you paste. It includes clinical reasoning, differential, data reviewed, risk, and disposition rationale. Ambient Scribe also captures the results, plans, consults, reassessments, and disposition you discuss, and that list goes into the MDM alongside your chart. New details from later ambient sessions update the existing MDM automatically. You review the draft, correct it, and choose what enters the record.

The work around that MDM is part of the product. Patient Mode helps you keep multiple active workups moving. Chart CheckER reviews a chart before sign-off. ConsultER prepares a focused specialty call. DischargER drafts patient instructions, work notes, and school notes. palmEM AI Reference keeps emergency medicine answers in the same workspace.

Nabla documents chart context, coding suggestions, and documentation nudges. Its public pages do not describe the ED MDM or those surrounding shift tools, so the documented scope remains centered on clinical documentation and EHR delivery.

Access and EHR model

palmER does not require an EHR integration project. You can start as an individual clinician, use copy and paste with any EMR, review every draft, and decide what to paste into the chart. The clinician rate is $199/month for unlimited access to every tool. Approved students and residents can use the $49/month trainee rate after verification. The full Suite is available during a 30-day trial without a credit card or automatic billing.

Nabla's homepage routes individuals to app onboarding and organizations to a contact path. Its public pages do not state a price or trial duration. Its EHR model is embedded and integration-oriented, with chart context pulled into the draft and structured notes returned to chart fields; access depends on supported integration paths and how the deployment is configured.

What stays after the encounter

palmER's security page describes a fixed product boundary: ambient audio is never stored, patient data is automatically deleted within 24 hours, and patient data is not used to train AI models. The clinician remains responsible for reviewing and signing the final chart, while the product limits the life of working material outside that chart.

Nabla's Trust Center says audio is not stored by default. It describes clinical notes as retained for 14 days by default, with configuration by client or geography. Nabla also says clinicians can optionally share de-identified audio as feedback. Its EHR materials state that customer data is not used to train its models. These are separate data categories, so the service settings and contract determine how the deployment handles each one.

Who should choose palmER?

Choose palmER when the work you need help with includes the MDM and everything that surrounds it. It connects HPI and Physical Exam drafting to active patient workups, clinical questions, consult preparation, chart review, and discharge paperwork in one emergency medicine workspace.

Nabla lists Emergency Medicine as a supported specialty, but the reviewed pages do not describe the dedicated ED MDM and shift-wide tools that palmER puts at the center.

Try palmER on the next shift with the 30-day full-access trial. Compare it against the work that remains after the initial note is drafted.

Read the palmER vs Nabla article for the direct comparison, or the full palmER vs Nabla comparison for the feature table and source details.