palmER User Guides
Introduction

Key Features and Benefits

Emergency medicine AI documentation platform with Ambient Scribing, MDM generation, and clinical decision support. Faster charts, better notes, fewer clicks.

Built Specifically for Emergency Medicine

palmER AI Suite was built by emergency physicians from the ground up for the emergency department workflow. Every feature is shaped by the realities of working in the ED.

Most clinical documentation tools, including ambient scribes, were designed for clinic workflows. Scheduled appointments, peaceful office visits, one patient at a time. That's not emergency medicine. In the ED, you're juggling multiple patients, managing constant interruptions, and making high-stakes decisions under time pressure. palmER was built for that reality.

  • Multiple patients, one shift — create patients, scribe encounters, and switch between charts instantly
  • Interruption-friendly — stop and restart scribing as your shift demands, without losing context
  • ED-specific documentation — generates notes that reflect emergency medicine language, structure, and clinical reasoning
  • Supplemental context — add exam findings and details that weren't said aloud, because not everything happens in front of a computer's microphone in the ED

AI-Powered Documentation Assistants

palmER AI Suite's core strength is its specialized AI assistants that understand emergency medicine workflows and generate professional documentation in seconds.

MDM Assistant: Complete MDM Notes in Under 10 Seconds

The MDM (Medical Decision Making) Assistant is palmER's flagship feature.

How it works:

Copy and paste your chart data

Paste in your entire chart. HPI, past medical and surgical histories, vitals, exam, labs, imaging...whatever you've got so far. The more context you provide, the better the output.

Send it

The AI processes your input and creates a comprehensive MDM note.

Get a complete MDM note in seconds

Review and edit the output to match your clinical assessment.

What it generates:

  • Clinically appropriate differential diagnoses (both "must rule out" and "most likely")
  • Risk stratification discussion
  • Justification for orders, consultations, and disposition
  • Documentation of shared decision-making
  • Support for appropriate E/M billing levels

Real User Feedback

"The time I spend on charting is barely noticeable now. I paste in a chart and the MDM is done. It captures clinical nuances I'd miss at 4 AM. The MDM alone is worth the subscription."

Learn more about MDM Assistant

Ambient Scribing & Patient Management

Ambient Scribing

How it works:

  • Tap record, see your patient, tap stop
  • Add optional supplemental context (exam findings, corrections)
  • HPI and Physical Exam auto-generate in seconds
  • Review, edit, and refine — then copy to your EMR

Privacy built in:

  • Nothing is ever saved — speech is transcribed and immediately discarded. No audio file is ever created.
  • Patient data auto-deletes within 48 hours — nothing is stored permanently
  • Your data is never used for AI training — your encounters stay private

Learn more about Ambient Scribing

Patient Management: Your Digital Track Board

The patient panel keeps your shift organized. Add patients, track documentation progress, and switch between encounters instantly. Each patient card shows room number, demographics, chief complaint, and documentation status.

Learn more about Patient Management

Chart View: All Documentation at a Glance

Review your documentation on a single screen. Refine any section with targeted instructions, edit inline, browse version history, and copy to your EMR. All without switching tabs.

Learn more about Chart View

HPI Assistant: Turn Brief Input Into Complete Histories

Stop typing lengthy histories from scratch.

How it works: With Ambient Scribing, your HPI generates automatically. Or, simply enter a brief summary like: 45M, chest pain x 2 hours, radiates to jaw, diaphoretic, no prior cardiac hx

What you get: A complete, professionally written HPI with:

  • Proper narrative structure
  • Complaint-specific pertinent positives and negatives
  • Appropriate detail level
  • Consistent style matching your preferences

Saves 5-10 minutes per chart while ensuring you don't miss important elements.

Learn more about HPI Assistant

Physical Exam Assistant: Chief Complaint-Specific Documentation

Generate focused physical exam documentation tailored to the patient's presentation. Automatically with Ambient Scribing, or by a brief text input.

No more:

  • Generic "normal" templates
  • Copy-paste documentation that looks suspicious
  • Forgetting to document relevant systems

Instead:

  • Complaint-appropriate system reviews
  • Professional, varied language
  • Consistent quality across all charts
  • Focused on relevant findings

Learn more about Physical Exam Assistant

Chart CheckER: Pre-Sign-Off Quality Assurance

Before you sign your chart, run it through Chart CheckER.

What it analyzes:

  • Documentation completeness
  • Billing optimization opportunities
  • Medico-legal vulnerabilities
  • Clinical clarity and defensibility

What you get:

  • Specific suggestions for improvement
  • Flags for missing critical elements
  • Billing level verification
  • Peace of mind before signing

Think of it like having a documentation expert review, analyze, and provide actionable feedback on every chart.

Learn more about Chart CheckER

ConsultER: Structure Specialist Consultations

Calling a consultant at 2 AM about an incidental but possibly significant CT finding? ConsultER helps you organize your presentation.

Generates:

  • Structured consult scripts
  • Clear communication of clinical urgency
  • Concise summary of workup to date
  • Specific request with justification
  • Strategies for handling pushback

Makes difficult conversations easier and more effective.

Learn more about ConsultER

palmEM AI Reference: Instant Clinical Guidance

The same AI-powered emergency medicine knowledge base from the palmEM mobile app, integrated into your documentation workflow.

Use it for:

  • Clinical questions during documentation
  • Verifying treatment protocols
  • Generating patient discharge instructions
  • Creating work/school notes
  • Quick reference without leaving your workflow

No more switching to UpToDate mid-chart. Ask your question, get your answer, keep documenting.

Learn more about palmEM AI Reference

Platform Features That Save Even More Time

Beyond the core assistants, palmER AI Suite includes platform-level features designed to eliminate friction and save additional time during every shift.

palmER Colab: Your Contextual Sidebar Assistant

A slide-out chat panel available from any assistant page. Colab automatically sees what you're working on in the main chat window — no re-explaining the case. Ask about orders, workup, results, follow-up, discharge instructions, or anything else that comes up, all without interrupting your workflow.

Learn more about palmER Colab

Snippets: One-Click Reusable Prompts

Save the phrases you type every shift — attestations, formatting templates, follow-up instructions — and insert them with a single click. First Prompt snippets help you start cases consistently, and Follow-Up snippets auto-send common refinements instantly.

Learn more about Snippets

Chat Editing and Branching: Refine Without Starting Over

Edit any message in your chat — yours or the AI's. Need to add a lab result? Edit your input and regenerate. Need to tweak the AI's wording? Edit the response directly. Every edit creates a version you can navigate between, so nothing is ever lost.

Learn more about Chat Editing and Branching

Real-World Benefits

These aren't marketing promises - they're real changes seen by palmER users:

Massive Time Savings

1-2 hours saved per shift on documentation.

Think about what you could do with an extra 10 hours per week:

  • Actually leave on time at the end of your shift
  • Spend more time with anything other than your EMR
  • Take a real lunch break
  • Reduce take-home charting to zero

The time savings alone pays for the subscription many times over.

Improved Billing Accuracy

Capture appropriate E/M levels without gaming the system.

The MDM Assistant ensures your documentation accurately reflects the complexity of your medical decision-making. Many users find their charts consistently support higher E/M levels because the documentation now matches the level of care they're providing.

This isn't about upcoding. It's about getting credit for the work you're actually doing.

Enhanced Documentation Quality

Professional, defensible notes that demonstrate clinical reasoning.

Generic templates and copy-paste documentation don't show your thinking. palmER-generated notes clearly demonstrate:

  • Comprehensive differential diagnosis consideration
  • Risk stratification and medical necessity
  • Clinical reasoning behind orders and consultations
  • Shared decision-making documentation

If you ever face a lawsuit or peer review, you'll be glad you used palmER.

Reduced Cognitive Load

Let AI handle the tedious parts so you can focus on doctoring.

You shouldn't have to remember to document every element of medical decision-making while also managing a critically ill patient. palmER handles the documentation structure and completeness. You verify nuance and accuracy.

Better Work-Life Balance

Finish charting during your shift instead of taking work home.

No more logging in from home to close charts. No more sacrificing family time to documentation. When your shift ends, you're actually done.

Consistent Documentation Quality

Every chart meets professional standards regardless of time pressure or fatigue.

Your 3 AM chart for patient #25 will be just as thorough and well-documented as your first chart of the shift. No more documentation quality fading as you get tired.

Who Benefits Most?

Individual clinicians benefit from time savings, better documentation, and improved work-life balance.

Group practices benefit from consistent documentation quality across all providers and optimized billing capture.

Healthcare systems benefit from reduced clinician burnout, decreased medico-legal risk, and improved revenue integrity.

Try It Free for 30 Days

Experience These Benefits Yourself

No credit card required. Full access to all features. Cancel anytime.

Start your free trial: platform.palm-er.com/signup

Most users know within their first shift whether palmER AI Suite will transform their documentation workflow. The 30-day trial gives you plenty of time to integrate it into your practice and see the results.