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Critical Care / ICU

AI Medical Scribe for Critical Care

High-acuity documentation for intensive care units. ICU progress notes with organ-system problem-severity classification, ventilator management, sedation tracking, and daily intensivist checklists.

14-day Pro trial with a card on file when you sign up on the web. Purchases made in the iOS app are billed and cancelled through Apple.

Documentation Challenges in Critical Care / ICU

Multi-organ system documentation with rapidly changing clinical status
Tracking ventilator settings, drips, and sedation scales across shifts
Documenting critical care time for billing compliance
Coordinating family meetings and goals-of-care discussions
Maintaining accurate problem-severity classifications as patients evolve

Note Types for Critical Care / ICU

Purpose-built templates for every encounter type

01

ICU Progress Notes

Organ-system-based notes with problem-severity classification and daily data review

02

ICU Admission Notes

Detailed admission documentation with resuscitation events and initial stabilization

03

Consultation Notes

Critical care consultation responses with acuity assessment and recommendations

04

Daily Intensivist Checklist

Structured checklist covering DVT prophylaxis, lines, sedation holidays, and liberation readiness

Key Features for Critical Care / ICU

Built specifically for your workflow

Organ-System Organization

Notes structured by organ system with severity classification for each problem

Ventilator Documentation

Captures vent mode, settings, ABG correlation, and weaning parameters

Critical Care Time

Automatically tracks and documents critical care time for billing

Device & Line Tracking

Documents central lines, drains, tubes with day counts and removal criteria

Sedation & Analgesia

RASS, CAM-ICU, and pain scale documentation integrated into workflow

Common Critical Care / ICU Conditions

🩺

Preeclampsia

ICD-10: O14.00

🩺

Sepsis

ICD-10: R65.20

🩺

Acute Kidney Injury

ICD-10: N17.0

🩺

Acute Respiratory Distress Syndrome

ICD-10: J80

🩺

Pulmonary Embolism

ICD-10: I26.01

View all conditions

Common Critical Care / ICU Procedures

📋

Critical Care - First 30-74 minutes

CPT: 99291

📋

Emergency Dept Visit - High Complexity

CPT: 99285

📋

Subsequent Hospital Care - High Complexity

CPT: 99233

View all procedures

Calculators that can activate in Critical Care / ICU

Registry entries whose specialty scope includes Critical Care / ICU. Each page lists the inputs the note needs, the scoring criteria, the interpretation bands and the cited sources.

  • 4Ts Score for Heparin-Induced ThrombocytopeniaEstimates pre-test probability of heparin-induced thrombocytopenia (HIT) to guide confirmatory testing and management
  • APACHE II ScoreEstimates ICU mortality based on physiologic parameters
  • Berlin Criteria for ARDSClassifies acute respiratory distress syndrome severity to guide ventilatory management and prognostication
  • BISAP ScorePredicts mortality in acute pancreatitis within 24 hours of presentation using readily available parameters
  • Braden Scale for Pressure Injury RiskPredicts pressure injury risk to guide prevention interventions in hospitalized and immobilized patients
  • Calcium Corrected for AlbuminAdjusts total calcium for hypoalbuminemia to determine true calcium status
  • Calculated Serum OsmolalityEstimates serum osmolality from basic metabolic panel to evaluate osmolar gap and dysnatremia
  • CAM-ICU (Confusion Assessment Method for the ICU)Screens for delirium in mechanically ventilated and non-verbal ICU patients using a standardized bedside assessment
  • CIWA-ArObjectifies alcohol withdrawal severity for symptom-triggered treatment
  • Clinical Frailty Scale (Rockwood)Categorizes frailty status to guide treatment intensity, surgical candidacy, and prognostication in elderly patients
  • Corrected QT Interval (QTc)Corrects QT interval for heart rate to identify clinically significant QT prolongation and torsades risk
  • CURB-65 ScoreEstimates pneumonia mortality and guides disposition
  • Fisher GradeClassifies SAH severity on CT to predict risk of cerebral vasospasm
  • FOUR Score (Full Outline of UnResponsiveness)Assesses comatose patients with greater neurological detail than GCS, including brainstem reflexes and respiration
  • Fractional Excretion of Sodium (FENa)Differentiates prerenal from intrinsic renal failure
  • Free Water DeficitEstimates free water needed to correct hypernatremia based on total body water and measured sodium
  • Glasgow Alcoholic Hepatitis ScoreAlternative severity score for alcoholic hepatitis that identifies patients likely to benefit from corticosteroid therapy
  • Glasgow Coma Scale (GCS)Assesses impaired consciousness and coma severity
  • Hunt-Hess ScaleGrades clinical severity of subarachnoid hemorrhage to predict outcome and guide management
  • Ideal Body Weight (Devine)Calculates ideal body weight for lung-protective ventilation tidal volume and medication dosing
  • KDIGO AKI StagingStages acute kidney injury severity to guide management and prognosis
  • Lille ModelPredicts response to corticosteroid therapy at day 7 in severe alcoholic hepatitis; identifies non-responders who should stop steroids
  • LRINEC ScoreDistinguishes necrotizing fasciitis from other severe soft tissue infections to guide early surgical intervention
  • Maddrey's Discriminant FunctionQuantifies severity of alcoholic hepatitis and identifies patients who may benefit from corticosteroid therapy
  • Maintenance IV Fluids (4-2-1 Rule)Calculates hourly maintenance IV fluid rate using the Holliday-Segar method based on body weight
  • Mannheim Peritonitis Index (MPI)Predicts mortality risk in patients with peritonitis to guide surgical aggressiveness and ICU triage
  • Mean Arterial Pressure (MAP)Calculates mean arterial pressure to assess end-organ perfusion adequacy
  • MELD-Na ScoreQuantifies end-stage liver disease severity for transplant prioritization
  • Murray Lung Injury ScoreQuantifies lung injury severity to identify ARDS and guide ECMO consideration
  • National Early Warning Score 2 (NEWS2)Standardized early warning score to detect clinical deterioration in hospitalized patients and guide escalation of care
  • NIH Stroke Scale (NIHSS)Quantifies stroke severity and monitors neurological changes
  • NUTRIC Score (Nutrition Risk in the Critically Ill)Identifies ICU patients most likely to benefit from aggressive nutritional support to guide nutrition therapy escalation
  • Padua VTE Risk Assessment ScoreStratifies VTE risk in hospitalized medical patients to guide thromboprophylaxis decisions
  • Pediatric Early Warning Score (PEWS)Identifies pediatric patients at risk for clinical deterioration to trigger timely escalation
  • PLASMIC ScorePredicts probability of severe ADAMTS13 deficiency (TTP) in adults with thrombotic microangiopathy to guide urgent plasma exchange
  • qSOFA ScoreIdentifies non-ICU patients with infection at high mortality risk
  • Ranson's CriteriaEstimates pancreatitis severity and mortality based on admission and 48-hour parameters
  • Richmond Agitation-Sedation Scale (RASS)Standardizes sedation and agitation level assessment in ICU patients to guide sedation titration and enable delirium screening
  • Rockall ScorePredicts rebleeding and mortality risk after upper GI bleeding based on pre- and post-endoscopy factors
  • Serum Anion GapEvaluates metabolic acidosis etiology
  • Sgarbossa CriteriaIdentifies acute MI in patients with left bundle branch block or ventricular paced rhythm
  • SIRS Criteria (Systemic Inflammatory Response Syndrome)Identifies systemic inflammatory response to guide early sepsis recognition and management
  • Sodium Corrected for HyperglycemiaCorrects measured sodium for glucose-induced dilutional effect to reveal true sodium status
  • Sodium Correction RateMonitors sodium correction rate in hyponatremia to prevent osmotic demyelination syndrome
  • SOFA ScorePredicts ICU mortality based on organ dysfunction
  • TIMI Risk Score for STEMIPredicts 30-day mortality in patients with ST-elevation myocardial infarction
  • Transtubular Potassium Gradient (TTKG)Assesses renal potassium handling to differentiate causes of hyperkalemia and hypokalemia
  • Wells' Criteria for PERisk-stratifies patients suspected of pulmonary embolism
Browse the full registry

Related Specialties

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Anesthesiology

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Ready to Transform Your Critical Care / ICU Documentation?

Built for critical care / icu physicians. Start free with a 14-day trial.

14-day Pro trial with a card on file when you sign up on the web. Purchases made in the iOS app are billed and cancelled through Apple.

AI Medical Scribe for Critical Care

High-acuity documentation for intensive care units. ICU progress notes with organ-system problem-severity classification, ventilator management, sedation tracking, and daily intensivist checklists.

Documentation Challenges in Critical Care / ICU

  • Multi-organ system documentation with rapidly changing clinical status
  • Tracking ventilator settings, drips, and sedation scales across shifts
  • Documenting critical care time for billing compliance
  • Coordinating family meetings and goals-of-care discussions
  • Maintaining accurate problem-severity classifications as patients evolve

Note Types for Critical Care / ICU

  • ICU Progress Notes

    Organ-system-based notes with problem-severity classification and daily data review

  • ICU Admission Notes

    Detailed admission documentation with resuscitation events and initial stabilization

  • Consultation Notes

    Critical care consultation responses with acuity assessment and recommendations

  • Daily Intensivist Checklist

    Structured checklist covering DVT prophylaxis, lines, sedation holidays, and liberation readiness

Key Features for Critical Care / ICU

  • Organ-System Organization

    Notes structured by organ system with severity classification for each problem

  • Ventilator Documentation

    Captures vent mode, settings, ABG correlation, and weaning parameters

  • Critical Care Time

    Automatically tracks and documents critical care time for billing

  • Device & Line Tracking

    Documents central lines, drains, tubes with day counts and removal criteria

  • Sedation & Analgesia

    RASS, CAM-ICU, and pain scale documentation integrated into workflow

Common Critical Care / ICU Conditions

  • AI documentation for Preeclampsia
  • AI documentation for Sepsis
  • AI documentation for Acute Kidney Injury
  • AI documentation for Acute Respiratory Distress Syndrome
  • AI documentation for Pulmonary Embolism

Common Critical Care / ICU Procedures

  • AI documentation for Critical Care - First 30-74 minutes
  • AI documentation for Emergency Dept Visit - High Complexity
  • AI documentation for Subsequent Hospital Care - High Complexity

Related Specialties

  • Pulmonology - AI Medical Scribe
  • Hospital Medicine - AI Medical Scribe
  • Anesthesiology - AI Medical Scribe

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