palmER User Guides
Introduction

Overview

Cut charting time up to 80% with AI-powered documentation and ambient scribing built for emergency medicine and urgent care. Defensible HPI, exam, and MDM.

Welcome to palmER AI Suite

You know the scenario: It's 4 AM, 20 charts to finish, and you're trying to document the subtle clinical reasoning behind why it was safe to discharge the weak and dizzy patient you saw six hours ago. The waiting room is still full, and you're fielding questions about stable patients that you simply don't have time to see.

palmER AI Suite was built from the ground up for the ED by practicing emergency physicians. We didn't adapt existing tools or reshape existing software. We started from scratch. It doesn't take long to see how existing documentation tools fall apart in the ED: more clicks, more templates, more wasting your time. palmER works with your workflow, not against it.

What palmER does:

  • Ambient Scribing that captures your encounter and writes your HPI and Exam automatically
  • MDM generation that produces defensible, billing-optimized notes in seconds from your raw chart
  • Clinical decision support integrated directly into your documentation workflow
  • Keeps data private and secure with auto-deletion of patient data within 48 hours. No audio is ever saved.

The Documentation Crisis

Emergency medicine has the highest burnout rate of any specialty. The number one cause? Documentation.

  • 2-3 hours per shift
  • 10 hours every week
  • 21 days every year

Time taken from patients, your family, and your life. It doesn't have to be this way anymore.

What Changes With palmER

You chart faster. Comprehensive documentation in seconds. Not hours. Not after your shift.

Your notes are better. State of the art AI that captures your clinical reasoning and ensures your notes reflect the complexity of the care you're providing.

Your charts hold up. Documentation that clearly demonstrates what you were thinking and why. The kind of notes you're proud to have anyone read.

Core Features

MDM Assistant

palmER's flagship feature. Paste in your chart data and get a complete Medical Decision Making note in seconds.

MDM Assistant

Generate comprehensive medical decision-making documentation in seconds

  • Paste your chart data, get a complete MDM note
  • Automatically generates clinically appropriate differential diagnoses
  • Demonstrates risk stratification and clinical reasoning
  • Supports appropriate E/M billing levels

Ambient Scribing

See your patient. palmER captures the encounter and writes your HPI and Physical Exam automatically.

Ambient Scribing

Finally, ambient scribing built for the ED. Capture encounters and generate documentation automatically.

  • See your patient, palmER transcribes and writes your HPI and Exam
  • Add supplemental context after scribing for exam findings and corrections
  • Review, edit, and refine generated documentation in Chart View
  • Nothing is ever saved. Speech is transcribed and immediately discarded.

HPI Assistant

Stop typing lengthy histories from scratch. With Ambient Scribing, your HPI generates automatically. Or enter a brief summary and palmER writes the rest.

HPI Assistant

Create detailed, complaint-specific histories from brief clinical input

  • Turn 1-2 sentences into a complete HPI
  • Includes appropriate pertinent positives and negatives
  • Adapts to your documentation style
  • Saves 5-10 minutes per chart

Physical Exam Assistant

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

Physical Exam Assistant

Generate focused, complaint-appropriate physical exam documentation

  • Creates chief complaint-specific exams
  • Includes relevant systems and findings
  • Maintains professional, consistent documentation
  • Eliminates generic copy-paste templates

Clinical Support Tools

palmEM AI Reference

Emergency medicine knowledge base integrated into your documentation workflow

  • Ask any emergency medicine question, get instant evidence-based answers
  • No more interrupting your workflow to search UpToDate
  • Generate discharge instructions and patient education
  • Access the same AI that powers the palmEM mobile app

ConsultER

Structure and script specialist consultations

  • Generates organized consult presentations
  • Ensures you communicate clinical urgency effectively
  • Includes strategies for handling pushback
  • Makes difficult conversations easier

Chart CheckER

Pre-sign-off documentation quality check

  • Identifies documentation gaps before you sign
  • Highlights billing optimization opportunities
  • Flags potential medico-legal vulnerabilities
  • Ensures your charts are defensible

Who Is palmER For?

Emergency medicine clinicians. Attendings, residents, NPs, PAs. palmER was built by ED physicians for the ED workflow. If you're in the emergency department, this is for you.

Urgent care providers. High patient turnover, limited time per chart, same need for defensible documentation. palmER has you covered.

Acute care clinicians. Complex decision-making, high volumes, and notes that need to reflect the care you're actually providing.

Groups and health systems. Consistent documentation quality across all providers, optimized billing capture, and less burnout-driven turnover.

What Users Are Seeing

1-2 hours back per shift. Up to 80% less time charting. That's time you spend however you want.

Better billing capture. Notes that consistently reflect the complexity of care you're providing and support appropriate E/M levels.

Defensible charts. Documentation that demonstrates your clinical reasoning, differential consideration, and risk stratification. Every patient, every shift.

Reduced mental load. palmER handles the charting. You focus on the medicine.

Actually going home on time. No more logging in at home to finish charts. When your shift ends, you're done.

Getting Started

Try palmER AI Suite Free for 30 Days

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

New users: Start your free trial

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Important: palmER AI Suite vs. palmEM AI

palmER AI Suite is a web-based platform accessed through your browser on desktop, laptop, or tablet. It's designed for comprehensive documentation at a workstation.

palmEM AI is a mobile app (iOS/Android) for quick reference and clinical guidance during patient care.

Both platforms include the palmEM AI Reference feature, but they serve different purposes in your workflow. Many users find they complement each other - use palmEM on your phone at the bedside, then palmER AI Suite at the workstation for documentation.