palmER vs Abridge.

Abridge is a documentation platform your hospital buys. palmER puts your entire shift in your hands.

Paste your chart for an EM-native MDM. Get an answer with the case in context, prepare a focused consult call, and draft discharge instructions before the next interruption. Emergency physicians built it for the shifts they work themselves. You can start it on yours today.

Try every palmER tool free for 30 days. No credit card. No automatic billing.

At a glance

An MDM That Shows Your Clinical Reasoning

An ambient scribe hears the conversation, so it can draft the HPI. The MDM is a different kind of writing. It has to hold your differential, your risk stratification, the data you reviewed, and the reason you chose the disposition. Coders and reviewers rely on that explanation to understand the care you provided.

palmER writes a structured MDM. Paste the chart, and in seconds it drafts the differential, the risk stratification, the data you reviewed, and the disposition rationale, in language that reads as your reasoning rather than a template. You edit it, then it goes in the chart. Abridge's public pages do not describe how results, reassessments, consultations, and disposition are brought together into an ED MDM.

Consults, Discharge Papers, and Clinical Questions

When you need a consult, palmER helps you lead with the information the consultant needs. It can answer clinical questions, draft custom discharge instructions in the patient's language, and prepare work and school notes. Before you sign, it can review the chart for missing documentation. The palmEM emergency medicine reference is available in the same workspace.

palmER brings its emergency medicine tools directly to the clinician, with one workspace you can start yourself and use across practice sites.

Start Without Waiting for a Hospital Rollout

Abridge is sold through hospitals and health systems. A public individual signup or trial is not advertised on the pages reviewed.

palmER requires no EMR integration project. You can start a 30-day free trial without a credit card and use it on your next shift.

What Remains After the Shift?

palmER never stores ambient audio. Transcripts, drafts, edits, and questions are automatically deleted within 24 hours. Nothing is used to train AI models, and because palmER sits beside the EMR instead of inside it, the text that becomes part of the record is the text you reviewed and pasted, nothing else. Details are on our security page.

Abridge's privacy policy defers clinical customer data to the customer agreement and BAA. It does not publish a fixed deletion window for that data. palmER's 24-hour patient-data limit is part of the product.

Retained material outside the final chart can be requested in litigation. We wrote about the retention question in more detail in what does your AI scribe save. Whichever vendor you pick, ask what is retained, for how long, and who can produce it.

Document the care that deserves its own note

From critical care and procedures to sepsis, palmER spots documentation needs and drafts the supporting notes, so your chart reflects the care you delivered. Review the draft, add your details, and finish the documentation without starting another note from scratch.

Put palmER to work on your next shift

Make your next shift the one where the MDM, consult preparation, and discharge paperwork stop piling up. palmER brings those jobs together with clinical answers, patient tracking, and chart review.

Choose it yourself. Use it beside your current EMR. Get unlimited access to every tool for $199/month after a full-access 30-day trial, with no credit card and no automatic billing.

Start your 30-day free trial. Your next patient is a good place to start.

See the full palmER vs Abridge comparison for features, pricing, and sources.