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A broad ambient scribe available to clinicians and healthcare organizations across many specialties. Emergency medicine is supported, but the public materials reviewed do not describe an ED-specific MDM or shift workflow.
Nabla
Nabla focuses on turning clinical conversations into notes across many specialties. For an emergency clinician, the main question is whether a general ambient note is enough when the MDM, differential, multi-patient workflow, and pre-sign review remain separate.
When palmER is the right call.
When the chart is written between rooms, not after a scheduled visit. Chart-paste MDM with a real differential, a patient board for the shift, structured consult scripts, and a pre-sign-off check. Available directly, with no health-system purchase or IT rollout required. Encounter audio is never stored, and patient data automatically deletes within 24 hours.
You signed one note. What else still exists?
AI documentation can create more than the note you sign: audio, transcripts, draft notes, edits, prompts, and questions. What remains depends on the tool, the vendor's terms, and sometimes your health system's contract.
What the public documents say.
No audio stored by default; transcripts and clinical notes are retained for 14 days by default, configurable per client. Transcripts or notes a clinician submits through the feedback feature are stored permanently after de-identification, and the terms with BAA permit Nabla to "freely use any patient information" once fully de-identified.
No lasting shadow record.
Encounter audio is never stored. Inputs, transcripts, chats, drafts, and questions automatically delete within 24 hours. AI providers operate under zero-retention agreements.
Seventeen rows. No spin.
Emergency medicine is named among 55+ supported specialties (with an EM clinician testimonial), but the platform is not positioned as ED-specific.
Built by board-certified emergency physicians for ED/UC workflows.
Homepage emphasizes ambient capture and codification; depth of ED-specific MDM structure is not publicly documented.
MDM Assistant generates differential, risk stratification, disposition, and a Clinical Insights sidebar (Most Serious / Most Likely).
Ambient AI is the core product; live transcript and patient-friendly note generation are explicitly named.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed in real time and immediately discarded.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Paste a full chart into the MDM Assistant for a complete, defensible MDM in seconds.
Public materials describe point-of-care support, but not a structured ED differential.
Most Serious and Most Likely differential panels generate alongside the MDM.
Patient Mode panel for active and completed patients across the shift.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
Custom instructions and dot phrases are explicitly named.
palmER Colab side panel inherits patient and conversation context automatically.
ConsultER generates structured specialty consult scripts.
Public materials describe coding support, not a clinician-facing pre-sign ED chart review.
Chart CheckER flags documentation gaps, billing opportunities, and medico-legal vulnerabilities before sign-off.
Integrated palmEM AI knowledge base for instant EM clinical reference.
No audio stored by default; transcripts and clinical notes are retained for 14 days by default, configurable per client. Transcripts or notes a clinician submits through the feedback feature are stored permanently after de-identification, and the terms with BAA permit Nabla to "freely use any patient information" once fully de-identified.
Audio is never stored: it is transcribed in real time and immediately discarded. Everything else, inputs, transcripts, chats, and generated drafts, auto-deletes within 24 hours, and AI providers operate under zero-retention agreements.
Pricing not publicly listed on the homepage.
Two tiers publicly listed: Clinician at $199/month and Trainee at $49/month for verified students and residents.
"Try it for free" calls-to-action are present on the homepage.
30-day free trial, no credit card required.
Lists integrations with several EHRs; availability depends on the deployment.
Works alongside any EMR via copy and paste; no direct EHR integration.
Clinicians and healthcare organizations across many specialties.
Emergency and urgent care clinicians, groups, and health systems.
Built broad, or built for the ED.
Nabla supports emergency medicine among many specialties, but its public materials center ambient note generation. palmER is built for emergency and urgent care workflows and combines ambient HPI and exam drafting with chart-paste MDM, Clinical Insights, ConsultER, Chart CheckER, and palmEM AI Reference.
- 15s
- 30
- 24h
Asked often. Answered plainly.
How does Nabla fit emergency medicine?+
Nabla supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER is purpose-built around emergency-department documentation: chart-paste MDM with Most Serious / Most Likely differential, multi-patient panel, ConsultER, Chart CheckER, and the integrated palmEM AI clinical reference.
Does Nabla offer a public free trial?+
"Try it for free" entry point publicly available; verify current terms with the vendor. palmER offers a 30-day free trial with full access to every tool, no credit card required.
What does Nabla cost?+
Pricing for Nabla is not publicly listed. palmER is publicly listed at $199/month for clinicians. Approved students and residents can apply for the $49/month trainee rate. The 30-day free trial includes every tool and requires no credit card.
What does Nabla retain after an encounter?+
No audio stored by default; transcripts and clinical notes are retained for 14 days by default, configurable per client. Transcripts or notes a clinician submits through the feedback feature are stored permanently after de-identification, and the terms with BAA permit Nabla to "freely use any patient information" once fully de-identified. 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?+
The palmER MDM Assistant takes a full pasted chart and returns a complete MDM with clinically appropriate differential diagnoses, risk stratification, justification for orders and consultations, shared decision-making documentation, and support for appropriate E/M billing levels. The Most Serious and Most Likely differential panels and Clinical Insights sidebar generate alongside the MDM. Public materials for Nabla do not detail an equivalent ED-specific MDM workflow.
What about EHR integration?+
Lists several direct EHR integrations; availability depends on the deployment. palmER works alongside any EMR via copy and paste, there is no integration step or IT setup required.
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 ↗
Multi-specialty ambient documentation for clinicians and organizations, several EHR integrations, and "No audio stored by default."
- Nabla, trust center ↗
"By default, we don't store audio"; clinical notes retained for 14 days by default, configurable by client. Terms of service with BAA permit free use of fully de-identified patient information.
Fairness note: vendors update positioning, pricing, and features over time. If something on this page is out of date, tell us. A physician reviews every report, and the page gets refreshed, whichever way the correction cuts.
Try the one built for your shift.
Start a trial tonight, paste your messiest chart, and read what comes back. Thirty days free, no card, no auto-billing.