palmERNabla.palmER.
Nabla turns conversations into notes. palmER powers your entire ED shift.
From the first workup to the last discharge, palmER puts MDM writing, clinical answers, consult preparation, and chart review in your hands. Built by emergency physicians. Ready for your next shift.
Nabla turns conversations into notes.
Nabla focuses on configurable documentation, chart context, and coding across specialties. It offers individual onboarding and organizational EHR integrations.
palmER powers your entire ED shift.
Keep multiple workups moving. Turn your chart into an EM-native MDM, get clinical answers, prepare consult calls, and review the chart before you sign. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes. Finish with discharge instructions, work notes, and school notes. All in one subscription.
You signed one note. What else still exists?
Nabla does not store audio by default; clinical notes are retained 14 days by default and can be configured. palmER never stores ambient audio and deletes patient data within 24 hours.
Your signed note belongs in your EHR. The drafts, transcripts, and questions that helped you get there don't need a permanent home in your AI tool. With palmER, they expire automatically.
What the public documents say.
Nabla says audio is not stored by default; clinical notes are retained 14 days by default and configurable by client/geography; clinicians may optionally share de-identified audio for feedback, and Nabla says customer data is not used to train models.
Help on shift. Patient data gone within 24 hours.
Audio is never stored. Transcripts, drafts, edits, and questions automatically delete within 24 hours. Patient data is never used to train AI models.
palmER and Nabla compared.
The homepage and EHR pages describe ambient documentation and clinical notes integrated into EHR workflows.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters and adds the results, plans, consults, reassessments, and disposition discussed to the MDM, where they can be edited anytime; audio is transcribed and immediately discarded.
Nabla describes configurable clinical notes across 55+ specialties; public pages do not enumerate every specialty-specific HPI or exam field.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Nabla describes embedded EHR iFrame workflows, structured note export, chart-context retrieval, and names Epic, Oracle, Greenway, and NextGen integrations.
Works alongside any EMR without requiring an integration.
No price is published on the reviewed product pages.
$199/month for clinicians. Approved students and residents pay $49/month after verification. Both include unlimited access to every tool.
The homepage publicly offers a Try it for free entry point, but duration and terms are not stated on the checked pages.
Every tool free for 30 days. No credit card and no automatic billing.
Emergency medicine appears in Nabla's supported-specialty help documentation, while the product is positioned across 55+ specialties rather than as an ED-specific system.
Built specifically for emergency medicine and urgent care by emergency physicians.
Multi-specialty; emergency medicine is not the primary audience.
Emergency and urgent care medicine.
Checked public product and specialty pages do not describe structured ED MDM sections or a medical-decision-making generator.
Writes a structured MDM from the chart and the clinical details captured by Ambient Scribe: differential, data reviewed, risk, clinical reasoning, and disposition.
A dedicated pasted-chart-to-ED-MDM workflow was not established in the reviewed pages.
Paste your chart to draft an EM-native MDM in seconds. Review and update it as the encounter progresses.
No structured differential-diagnosis feature was described on the checked current pages.
Most Serious and Most Likely differential panels generate alongside the MDM.
The checked pages do not describe an ED patient list or multi-patient tracking panel.
Tracks active and completed patients as multiple workups progress throughout the shift.
Nabla describes chart-context retrieval and an embedded EHR iFrame with structured note export; a standalone chart-view surface is not documented.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
Chart-context retrieval and documentation nudges are described, but an ED-specific conversational assistant is unverified.
Ask clinical questions with the case in context. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes.
Public product pages do not describe consult or referral scripts.
ConsultER generates structured specialty consult scripts.
Nabla describes coding/E&M and ICD-10 suggestions and documentation nudges; clinician chart-quality review is not explicitly documented.
Reviews the chart for missing or incomplete documentation before you sign.
No ED reference library or emergency-medicine reference workflow was described on the checked pages.
Integrated palmEM AI knowledge base for instant EM clinical reference.
Nabla's trust page says audio is not stored by default and clinical notes are retained 14 days by default, configurable by client/geography; optional de-identified audio feedback is separate.
Encounter audio is not stored. Patient data automatically deletes within 24 hours and is not used to train AI models.
Less charting. More shift handled.
The next patient needs more than a visit note. palmER writes the MDM, helps you answer the clinical question, prepares the consult call, and drafts the discharge documents. Keep multiple workups in one workspace and review the chart before you sign.
Put every palmER tool to work free for 30 days. Then $199/month for unlimited access. No credit card to start and no automatic billing.
- $199
- 30
- 24h
Asked often. Answered plainly.
Is palmER a good Nabla alternative?+
Yes. palmER was built for emergency and urgent care clinicians who want help with their entire shift: EM-native MDM, multiple active workups, clinical answers, consult preparation, chart review, and discharge documents. You can start yourself, use it beside any EMR, and try every tool free for 30 days.
How does Nabla fit emergency medicine?+
Nabla supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER was built specifically for emergency medicine and urgent care.
Does Nabla offer a public free trial?+
The homepage offers a public Try it for free entry point; trial duration and terms are unverified. palmER offers a 30-day free trial with no credit card required.
What does Nabla cost?+
Nabla does not publish a price on the reviewed product pages. palmER is $199/month for unlimited access to every tool. Approved students and residents pay $49/month after verification. The full-access 30-day trial requires no credit card and ends without automatic billing.
What does Nabla retain after an encounter?+
Nabla says audio is not stored by default; clinical notes are retained 14 days by default and configurable by client/geography; clinicians may optionally share de-identified audio for feedback, and Nabla says customer data is not used to train models. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
How does palmER compare on MDM?+
Paste your chart and palmER builds a structured ED MDM, including clinical reasoning, differential, data reviewed, risk, and disposition. You do not need to write out the reasoning first. palmER also uses the results, plans, consults, reassessments, and disposition you discuss during ambient scribing, and updates an existing MDM when you discuss something new. A dedicated ED MDM workflow was not established in the Nabla sources reviewed. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
What about EHR integration?+
Public EHR materials describe an embedded iFrame, chart-context retrieval, structured note export, and Epic/Oracle/Greenway/NextGen support. palmER works alongside any EMR without requiring an integration. You review the documentation and copy the final version into the chart.
Every claim about Nabla on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Nabla homepage ↗
Nabla focuses on configurable documentation, chart context, and coding across specialties. It offers individual onboarding and organizational EHR integrations.
Reviewed
- Nabla EHR integration ↗
Describes embedded EHR iFrame workflow, chart-context retrieval, structured notes export, and named EHR integrations.
Reviewed
- Nabla trust center ↗
States that audio is not stored by default and clinical notes are retained 14 days by default, configurable by client/geography.
Reviewed
- Nabla supported specialties ↗
Lists Emergency medicine among the supported specialties.
Reviewed
Read the full write-up: palmER vs Nabla
Vendor plans and features change. Sources and review dates are listed above. Send a correction if a detail has changed.
Put palmER to work. Your next shift is on us.
Start with your next patient: scribe the encounter or paste your chart, generate the MDM, and prepare the discharge. Get every palmER tool free for 30 days. Then $199/month. No credit card to start and no automatic billing.