Built in Direct Collaboration with Practicing Emergency Medicine Physicians

Emergency Medicine Notes in Seconds

Document fast. Treat faster.

Built in direct collaboration with practicing emergency physicians, ExamScribe handles the speed and complexity of emergency medicine documentation — from chest pain workups and stroke alerts to trauma activations and sepsis management. Complete, defensible notes without slowing down your throughput.

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ExamScribe — Emergency Medicine Encounter
🎤 Your Voice Recording

"58-year-old male brought in by EMS with acute onset chest pain, 8 out of 10, substernal, radiating to left arm, started 45 minutes ago. Diaphoretic on arrival. EKG shows ST elevation in leads 2, 3, and aVF. Troponin pending. BP 142 over 88, HR 96, O2 sat 97% on room air. I'm activating the cath lab. Aspirin 325mg given, heparin bolus given, ticagrelor 180mg given. Patient is being taken to cath lab now for primary PCI. Inferior STEMI."

📄 Generated Clinical Note
CHIEF COMPLAINT: Acute chest pain — STEMI activation HISTORY OF PRESENT ILLNESS: 58-year-old male presenting via EMS with acute onset substernal chest pain, 8/10 severity, with radiation to the left arm. Onset approximately 45 minutes prior to arrival. Associated diaphoresis. No prior cardiac history per EMS report. PHYSICAL EXAMINATION ON ARRIVAL: Vitals: BP 142/88, HR 96, SpO₂ 97% on room air, RR 18. General: Diaphoretic, moderate distress. Cardiovascular: Regular rate and rhythm. No murmurs appreciated. Pulmonary: Clear bilaterally. Extremities: No edema. Peripheral pulses intact. DIAGNOSTICS: 12-Lead EKG: ST elevation in leads II, III, and aVF — consistent with acute inferior STEMI. Reciprocal ST depression in leads I and aVL. Troponin: Pending at time of cath lab activation. IMPRESSION: Acute inferior ST-elevation myocardial infarction (STEMI) EMERGENCY MANAGEMENT: - Aspirin 325mg PO administered - Heparin bolus administered per STEMI protocol - Ticagrelor 180mg PO administered - Cath lab activated — patient transferred for primary PCI - Cardiology notified and at bedside DISPOSITION: Cath lab for primary percutaneous coronary intervention

Built for How Emergency Medicine Physicians Actually Work

Not a generic scribe with "Emergency Medicine" added. Every template, every prompt, and every output was purpose-built for emergency medicine workflows.

High-Acuity Documentation at ED Speed

Emergency medicine documentation must be fast and complete. ExamScribe generates defensible ED notes in seconds — capturing the clinical reasoning, risk stratification, and management decisions that protect you in peer review and litigation.

Risk Stratification Scoring Built In

HEART score for chest pain, NIHSS for stroke, CURB-65 for pneumonia, Wells score for PE, CIWA for alcohol withdrawal — template builders capture validated risk scores and incorporate them into your notes with clinical context.

Disposition Documentation

Admission, discharge, and transfer decisions require documented clinical rationale. ExamScribe captures your disposition reasoning — why this patient is safe for discharge, why admission is warranted, what return precautions were given.

Emergency Medicine-Specific Context Template Builders

AI can hear your words but cannot see your exam. These structured builders push real clinical findings to the AI in one click — eliminating hallucination and ensuring every note reflects what you actually did.

Chest Pain / ACS Workup

HEART score, EKG findings, troponin trend, risk stratification, disposition rationale

Stroke / TIA Alert

NIHSS score, last known well, tPA eligibility, imaging findings, neurology notification

Sepsis Management

qSOFA/SOFA score, source identification, lactate, blood cultures, antibiotic timing, fluid resuscitation

Trauma Activation

Mechanism, primary survey, FAST exam, injury inventory, trauma surgery notification

Dyspnea Evaluation

Differential workup, BNP, chest X-ray, EKG, SpO₂ trend, disposition decision

Overdose / Toxicology

Substance identification, toxidrome, antidote administration, psychiatric evaluation, disposition

Laceration Repair

Wound description, irrigation, closure technique, layer count, tetanus status, wound care instructions

Altered Mental Status

GCS, differential workup, metabolic panel, CT findings, etiology, disposition

Abdominal Pain Workup

Pain characterization, peritoneal signs, imaging findings, surgical consultation, disposition

Pediatric Fever

Age-appropriate risk stratification, source identification, antibiotic decision, return precautions

Integrated Compliance Engine

ED Documentation Is Under Constant Scrutiny. Every Note Must Be Defensible.

Emergency medicine faces unique compliance challenges — E/M level justification for high-complexity visits, procedure documentation, and medical screening examination requirements. ExamScribe's compliance engine ensures your notes support the level of care you delivered.

High-Complexity E/M Level Documentation

Level 5 ED visits (99285) require documented high-complexity MDM. The engine verifies your note captures the problem complexity, data reviewed, and risk of management that support the highest E/M level.

Medical Screening Examination (EMTALA)

EMTALA requires a documented medical screening examination for every ED patient. The engine checks that your note includes the MSE — protecting against EMTALA compliance gaps.

Procedure Documentation

Laceration repair, fracture reduction, intubation, central line placement, and other ED procedures require documented indication, technique, and patient response. The engine verifies procedure notes are complete.

Disposition Rationale Documentation

Discharge decisions require documented clinical rationale and return precautions. The engine checks that your note articulates why the patient is safe for discharge — protecting against liability in adverse outcomes.

Critical Care Time Documentation

Critical care billing (99291, 99292) requires documented time spent in direct patient care and the critical nature of the condition. The engine verifies time documentation and critical care criteria are present.

Two-Pass AI Compliance Audit

Every note is analyzed for coding accuracy, documentation sufficiency, and payer-specific requirements. You receive a detailed gap report — reviewed and attested by you before any changes are made.

Three Steps. That's It.

Start generating notes in under a minute.

1

Record

Click record and speak naturally about the encounter — during the visit, after the visit, or just key findings. No special commands.

2

Generate

ExamScribe transcribes your recording and generates a complete, properly structured emergency medicine note with accurate specialty terminology in seconds.

3

Review & Export

Review the note, make any quick edits, and copy it into your EHR or export as PDF. Done.

Simple, Transparent Pricing

One plan. Everything included. No per-note fees.

Individual Physician
MonthlyAnnual Save $120/yr
$89/mo

billed annually ($1,068/yr)

  • 400 AI credits per month
  • All Emergency Medicine template builders
  • Compliance audit engine
  • Document analysis & appeal letters
  • Voice-to-note in seconds
  • PDF & Excel export
  • HIPAA compliant — signed BAA included
  • 30-day free trial
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Your Patients' Data Is Sacred

Built with the same standard of care you bring to your patients.

HIPAA Compliant

  • Signed Business Associate Agreement
  • AES-256 encryption at rest
  • TLS 1.2+ in transit
  • SOC 2 Type II Azure data centers (US only)

Zero Data Sharing

  • Transcripts never used to train AI
  • No third-party data sharing — ever
  • Data never leaves US servers
  • You own your data — delete anytime

Automatic Protection

  • No audio recordings stored
  • Auto-delete on your schedule
  • Complete audit logging
  • Session timeouts enforced

Frequently Asked Questions

Can ExamScribe keep up with the pace of an emergency department?

Yes. ExamScribe generates notes in the background while you move to your next patient. In a high-volume ED, you can dictate a brief summary at the end of each encounter and have a complete note ready before you finish your shift.

Does ExamScribe understand emergency medicine risk stratification tools?

Yes. HEART score, NIHSS, CURB-65, Wells score, CIWA, and other validated ED risk tools are built into their respective templates. You enter the component scores and ExamScribe incorporates them with clinical interpretation.

How does ExamScribe handle trauma documentation?

The trauma template captures mechanism of injury, primary survey findings, FAST exam results, injury inventory, and trauma team notifications — producing a complete trauma note that meets documentation requirements.

Can ExamScribe document critical care time for billing?

Yes. The compliance engine checks for documented critical care time and the clinical elements that support critical care billing (99291/99292) — ensuring your documentation supports the level of care you delivered.

Is my patient data used to train the AI?

Never. Your transcripts and patient data are never used to train AI models. All data is processed on HIPAA-compliant Azure servers in the US and auto-deleted on your schedule.

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