AI Medical Scribe for Emergency Departments
Fast, accurate documentation for high-volume emergency departments. Generate ED notes, trauma documentation, and critical care notes under pressure.
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 Emergency Medicine
Note Types for Emergency Medicine
Purpose-built templates for every encounter type
ED Provider Note
Complete emergency department encounter documentation
Trauma Notes
Rapid trauma assessment and intervention documentation
Critical Care
Critical care time documentation and procedures
Discharge Instructions
Patient-friendly discharge summaries
Key Features for Emergency Medicine
Built specifically for your workflow
Rapid Documentation
The draft is ready while the patient is still in the department
MDM Capture
Automatically documents medical decision-making complexity
Procedure Documentation
Quick capture of procedures with time stamps
Handoff Notes
Structured handoff documentation for admissions
Same Patient. Same Encounter.
See why physicians say Scribeable notes are “actually usable” — with integrated risk scores, billing codes, and clinical reasoning that typical AI scribes simply don’t generate.
HPI
62 y/o male presents with chest pain for 2 hours. Substernal, pressure-like, radiating to left arm. Associated with diaphoresis and shortness of breath. Pain started while climbing stairs. Patient has history of HTN, DM2, and hyperlipidemia. Takes lisinopril, metformin, and atorvastatin. Denies recent illness or trauma.
Assessment & Plan
*Note examples are illustrative representations based on common AI documentation patterns. “Typical AI Scribe” represents composite characteristics of standard tools and does not depict any specific product. Patient scenarios are entirely fictional. Clinical notes should always be reviewed by a licensed provider.
AI Medical Scribe Note Quality Comparison
Scribeable produces clinically enriched notes with integrated risk calculators (HEART Score, CHA₂DS₂-VASc, Wells PE, PHQ-9, Caprini VTE), automated billing code optimization (E&M levels, HCC/RAF capture, CPT codes), dangerous diagnosis exclusion documentation, evidence-based prescribing citations, CMS compliance for operative reports, HEDIS care gap tracking, and MIPS quality measure documentation. Typical AI scribes produce basic notes without these advanced clinical features.
ED Chest Pain: 62-year-old male presenting with substernal chest pressure, diaphoresis, and exertional dyspnea
HPI: 62 y/o male presents with 2 hours of substernal chest pressure, rated 8/10, radiating to left arm and jaw. Onset during exertion (climbing stairs). Associated with diaphoresis and exertional dyspnea. Pressure-like quality, unrelieved by rest. No pleuritic component, no positional variation, no reproducibility with palpation. Risk factors: HTN (10 years), DM2 (8 years), hyperlipidemia, 30-pack-year smoking history (quit 5 years ago), family history of MI (father at age 58). Current medications: lisinopril 20mg daily, metformin 1000mg BID, atorvastatin 40mg daily. Denies cocaine use, recent immobilization, or prior VTE.
Assessment & Plan: 1. Acute Chest Pain — High-risk presentation HEART Score: 7 (High Risk) - History: moderately suspicious (2), EKG: non-specific ST changes (1), Age: >65 (2), Risk factors: ≥3 (2), Troponin: pending initial (0) - Risk stratification: >12% 6-week MACE event rate → full ACS workup - Serial troponins q3h, 12-lead EKG (initial + repeat at 60 min) - ASA 325mg PO administered, heparin drip per ACS protocol - Cardiology consulted for probable cath lab activation Dangerous Diagnosis Exclusion: - STEMI: No ST elevation on initial EKG — serial monitoring - Aortic dissection: No tearing quality, no pulse differential, no mediastinal widening on CXR - PE: Low pretest probability (Wells PE: 1.5) — no immobilization, no prior VTE, no hemoptysis 2. Hypertension — BP 168/94 on arrival, improved to 142/88 post-NTG - Continue home lisinopril, recheck prior to disposition 3. DM2 — Glucose 186 on arrival - Hold metformin (contrast exposure risk), sliding scale insulin PRN
Cardiology Consult: 71-year-old female with new-onset atrial fibrillation and decompensated heart failure
HPI: 71 y/o female with known HFrEF (EF 35% on TTE 6 months ago), HTN, DM2, and CKD Stage 3a (baseline Cr 1.4), consulted for new-onset atrial fibrillation with RVR. Progressive exertional dyspnea (NYHA II → IV over 2 weeks), 3-pillow orthopnea (new), PND, and 4+ pitting edema to knees bilaterally. Weight gain of 8 lbs over 2 weeks. Triggers explored: dietary indiscretion (holiday meals), medication non-adherence (ran out of furosemide 10 days ago). No prior AF history, no palpitations previously. Denies chest pain, syncope, or presyncope.
Assessment & Plan: Reason for Consult: New-onset atrial fibrillation with RVR in setting of acute decompensated HFrEF. Requesting Service: Internal Medicine (Dr. Patel) 1. New-onset Atrial Fibrillation with RVR CHA₂DS₂-VASc Score: 5 (Female sex, age ≥75, HTN, DM, HF) - Stroke risk: 6.7%/year → strong anticoagulation indication - Rate control: avoid diltiazem (negative inotropy in HFrEF) → amiodarone 150mg IV bolus then 1mg/min × 6h - Anticoagulation: apixaban 5mg BID (preferred over warfarin given age + fall risk) - TEE prior to any cardioversion attempt if AF duration uncertain - HAS-BLED: 2 (HTN, age) — acceptable bleeding risk 2. Acute Decompensated Heart Failure (ADHF) NYHA Functional Class: IV (dyspnea at rest) - IV furosemide 80mg BID (2.5× home oral dose), net negative 1-1.5L/day - Carvedilol held (acute decompensation), restart when euvolemic - Add sacubitril/valsartan when stable (PARADIGM-HF indication: EF ≤40% on ACEi) - BNP trend: 1,840 → monitor for response to diuresis 3. CKD Stage 3a — Cr 1.4 (baseline), monitor with aggressive diuresis - KDIGO risk: moderate — monitor Cr/K daily with diuresis
Operative Note: Right total knee arthroplasty in 68-year-old male with severe tricompartmental osteoarthritis
Operative Note: Preoperative Diagnosis: Right knee severe tricompartmental osteoarthritis (Kellgren-Lawrence Grade IV) Postoperative Diagnosis: Same Procedure: Right total knee arthroplasty Surgeon: Dr. James Morrison (attending — present and scrubbed for entire case) Assistant: Dr. Chen (PGY-4) Anesthesia: Spinal with sedation (Dr. Rivera) Implants: Smith & Nephew Legion CR, Size 5 femoral / Size 4 tibial / 10mm poly insert EBL: 150 mL Tourniquet Time: 62 minutes (pneumatic, 275 mmHg) Specimens: Femoral and tibial bone cuts — to pathology Complications: None Findings: Severe tricompartmental degenerative changes with exposed subchondral bone medially, grade III chondromalacia laterally, intact PCL
Post-Operative Plan: 1. Weight Bearing: WBAT right LE with front-wheeled walker 2. DVT Prophylaxis: Enoxaparin 40mg SQ daily × 14 days + mechanical (SCDs while inpatient) 3. Pain: Multimodal — scheduled acetaminophen 1g Q6h, meloxicam 15mg daily, tramadol 50mg Q6h PRN (max 14 days) 4. Antibiotics: Ancef 2g IV × 24h post-op 5. PT: Initiate POD0 PM — CPM machine, active/passive ROM, gait training 6. Follow-up: 2 weeks (staple removal + wound check), 6 weeks (X-ray + ROM assessment) 7. VTE Risk: Caprini Score 7 (High Risk) — extended pharmacologic prophylaxis indicated
Primary Care: 55-year-old female Medicare Advantage patient with DM2, HTN, depression, and overdue preventive care
HPI: 55 y/o female Medicare Advantage patient presenting for chronic disease management follow-up. Last visit 3 months ago. Diabetes (DM2, 8 years): A1c 8.2% (up from 7.6%), reports adherence but dietary indiscretion during holidays. Home glucose logs show fasting 140-180 range. No hypoglycemic episodes. Denies polyuria, polydipsia, vision changes, or foot numbness. Last diabetic eye exam: 14 months ago (overdue). Last podiatry visit: never. Hypertension (12 years): Home BP readings averaging 135-145/85-90. Taking lisinopril 20mg daily consistently. Depression (MDD, recurrent): PHQ-9 score today: 14 (moderately severe). Persistent low mood, anhedonia, poor sleep (initial insomnia), decreased concentration. On sertraline 50mg × 6 months with partial response. Denies SI/HI, denies alcohol or substance use. Columbia Suicide Severity: negative for ideation and behavior.
Assessment & Plan: 1. DM2, Uncontrolled (A1c 8.2%) — HCC 19 - Add empagliflozin 10mg daily (SGLT2i — CV and renal benefit, EMPA-REG OUTCOME indication) - Continue metformin 500mg BID (not escalating given GI intolerance history) - Diabetic eye exam referral (overdue 2 months — HEDIS measure) - Podiatry referral for initial foot exam - Recheck A1c in 3 months, target <7% 2. Hypertension, Suboptimally Controlled — HCC (when with CKD/DM) - BP today 138/86 — above target of <130/80 (ACC/AHA for DM patients) - Increase lisinopril to 40mg daily - Home BP log review in 4 weeks 3. Major Depressive Disorder, Recurrent, Moderate — HCC 59 - PHQ-9: 14 (moderately severe) — partial response to sertraline 50mg - Increase sertraline to 100mg daily - Safety plan reviewed, crisis line provided (988) - Follow-up in 4 weeks, recheck PHQ-9 - If inadequate response → consider augmentation or psychiatry referral 4. Preventive Care Gaps Addressed: - Mammogram ordered (last: 26 months ago — HEDIS BCS measure) - Colonoscopy referral (age 55, average risk, never screened — HEDIS COL) - Tobacco screening: former smoker, quit 3 years — MIPS measure 226 - Annual flu vaccine administered today — MIPS measure 110
Common Emergency Medicine Conditions
Common Emergency Medicine Procedures
Calculators that can activate in Emergency Medicine
Registry entries whose specialty scope includes Emergency Medicine. Each page lists the inputs the note needs, the scoring criteria, the interpretation bands and the cited sources.
- ABCD2 ScoreEstimates short-term stroke risk after TIA
- Alvarado ScorePredicts likelihood of acute appendicitis
- AUDIT-CBrief alcohol screening tool (USPSTF-recommended) for hazardous drinking
- 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
- Body Mass Index (BMI)Classifies weight status relative to height to guide nutritional counseling, surgical risk, and metabolic assessment
- Brief Psychiatric Rating Scale (BPRS)Rapidly assesses overall psychiatric symptom severity across diagnostic categories for treatment monitoring
- C-SSRS (Columbia Suicide Severity Rating Scale)Structured assessment of suicidal ideation and behavior for risk stratification
- CAGE QuestionsScreens for alcohol use disorder
- Calculated Serum OsmolalityEstimates serum osmolality from basic metabolic panel to evaluate osmolar gap and dysnatremia
- Canadian C-Spine RuleThree-step decision rule to determine need for cervical spine imaging in alert, stable trauma patients
- Canadian CT Head RuleDetermines need for CT head in patients with minor head injury (GCS 13-15) to identify clinically important brain injury
- CHA2DS2-VASc ScoreStratifies stroke risk in non-valvular atrial fibrillation to guide anticoagulation decisions
- CIWA-ArObjectifies alcohol withdrawal severity for symptom-triggered treatment
- Cockcroft-Gault Creatinine ClearanceEstimates creatinine clearance for renal drug dosing adjustments, particularly DOACs and renally-cleared medications
- 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
- Drug Abuse Screening Test-10 (DAST-10)Screens for drug use problems and quantifies severity of drug-related consequences
- Fisher GradeClassifies SAH severity on CT to predict risk of cerebral vasospasm
- Forrest ClassificationClassifies peptic ulcer bleeding by endoscopic appearance to predict rebleeding risk and guide intervention
- FOUR Score (Full Outline of UnResponsiveness)Assesses comatose patients with greater neurological detail than GCS, including brainstem reflexes and respiration
- Glasgow Coma Scale (GCS)Assesses impaired consciousness and coma severity
- Glasgow-Blatchford Bleeding ScoreIdentifies low-risk upper GI bleed patients safe for outpatient management
- Glucocorticoid Equivalence CalculatorConverts between glucocorticoids using equipotent dose equivalency for taper planning and medication switches
- GRACE ACS Risk ScorePredicts in-hospital and 6-month mortality in acute coronary syndrome patients using the GRACE 2.0 simplified model
- HEART ScorePredicts 6-week risk of major adverse cardiac events in ED chest pain patients
- Hinchey ClassificationStages complicated diverticulitis severity by degree of peritoneal contamination to guide surgical vs medical management
- 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
- Light's CriteriaDifferentiates transudative from exudative pleural effusions to guide diagnostic workup
- LRINEC ScoreDistinguishes necrotizing fasciitis from other severe soft tissue infections to guide early surgical intervention
- 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
- Modified Centor / McIsaac ScoreEstimates likelihood of group A streptococcal pharyngitis to guide testing and antibiotic decisions
- Modified Rankin Scale (mRS)Measures degree of disability and dependence after stroke or neurological event
- Morphine Milligram Equivalents (MME)Converts opioid prescriptions to standardized morphine equivalents to assess cumulative opioid burden and overdose risk
- National Early Warning Score 2 (NEWS2)Standardized early warning score to detect clinical deterioration in hospitalized patients and guide escalation of care
- NEXUS Criteria for C-Spine ImagingClinical decision rule to determine if cervical spine imaging can be safely omitted in trauma patients
- NIH Stroke Scale (NIHSS)Quantifies stroke severity and monitors neurological changes
- NRP Neonatal Resuscitation AssessmentClassifies level of neonatal resuscitation required at delivery to guide immediate interventions and resource allocation
- Numeric Rating Scale for Pain (NRS)Standardized patient-reported pain intensity measure for treatment monitoring and documentation
- Ottawa Ankle RulesDetermines need for radiography in acute ankle injuries to reduce unnecessary X-rays
- Ottawa Knee RulesDetermines need for radiography in acute knee injuries to reduce unnecessary X-rays
- Parkland FormulaCalculates initial crystalloid fluid resuscitation volume for major burn patients
- PECARN Pediatric Head Injury Decision RuleIdentifies children at very low risk for clinically important traumatic brain injury to reduce unnecessary CT scans
- PERC RuleRules out PE when all criteria absent AND pre-test probability <=15%
- PLASMIC ScorePredicts probability of severe ADAMTS13 deficiency (TTP) in adults with thrombotic microangiopathy to guide urgent plasma exchange
- PSI/PORT ScoreStratifies pneumonia severity into risk classes to guide site-of-care decisions (outpatient vs inpatient vs ICU)
- qSOFA ScoreIdentifies non-ICU patients with infection at high mortality risk
- Revised Geneva ScoreClinical prediction rule for estimating pre-test probability of pulmonary embolism
- 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
- Snellen Visual Acuity InterpretationInterprets Snellen visual acuity measurements and converts to LogMAR equivalents
- 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
- Sport Concussion Assessment Tool 5 (SCAT5)Standardized multidimensional concussion assessment for sideline and office evaluation of sport-related concussion
- TIMI Risk Score (UA/NSTEMI)Estimates mortality and adverse outcomes in unstable angina/NSTEMI
- 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 DVTRisk-stratifies patients suspected of deep vein thrombosis to guide diagnostic workup
- Wells' Criteria for PERisk-stratifies patients suspected of pulmonary embolism
- Westley Croup ScoreGrades croup severity to guide corticosteroid and epinephrine treatment decisions
- Yale Observation Scale (YOS)Identifies febrile children at risk for serious bacterial illness based on structured clinical observation
Related Specialties
AI Medical Scribe for Emergency Departments
Fast, accurate documentation for high-volume emergency departments. Generate ED notes, trauma documentation, and critical care notes under pressure.
Documentation Challenges in Emergency Medicine
- High patient volumes with limited time
- Complex trauma and critical care documentation
- Interruptions and multi-tasking during documentation
- Medical-legal requirements for thorough documentation
- Handoff documentation for admissions
Note Types for Emergency Medicine
ED Provider Note
Complete emergency department encounter documentation
Trauma Notes
Rapid trauma assessment and intervention documentation
Critical Care
Critical care time documentation and procedures
Discharge Instructions
Patient-friendly discharge summaries
Key Features for Emergency Medicine
Rapid Documentation
The draft is ready while the patient is still in the department
MDM Capture
Automatically documents medical decision-making complexity
Procedure Documentation
Quick capture of procedures with time stamps
Handoff Notes
Structured handoff documentation for admissions
Explore More
Discover how Scribeable can help your practice with AI-powered clinical documentation