palmER Support
Features

palmEM AI

Your intelligent emergency medicine assistant—right in your workflow

palmEM AI is an advanced, conversational knowledge base for emergency medicine — now built directly into your palmER AI Suite workflow. Ask it anything from clinical questions to discharge instructions, and get immediate, reliable, structured answers without leaving the chart.

🖼️ palmEM AI Interface

The palmEM AI provides intelligent, conversational emergency medicine support directly within your workflow:

Interface Features:

  1. Question Input - Ask clinical questions in natural language
  2. Generate Response - AI processes question and provides comprehensive answer
  3. Structured Output - Organized, actionable medical information
  4. Follow-up Options - Refine answers or ask related questions

🤖 What It Can Do

You can use palmEM AI for:

  • 📚 Clinical questions
    How do I differentiate central vs peripheral vertigo?
    How do I manage stable wide complex tachycardia?

  • 📄 Discharge instructions
    Give me discharge instructions for pediatric bleach ingestion
    Discharge instructions for pneumonia. Amox and doxy.

  • 🏥 Work notes or handouts
    Write out work restrictions for 8 week threatened abortion
    Give me an ED work excuse for a warehouse worker with back pain
    Explain concussion precautions in plain language

  • 💉 Protocols, scoring tools, drug info
    GCS scoring
    Heparin dosing for PE
    Components of the HEART score

💡 Your personal clinical assistant

Think of it as your AI-powered clinical companion — a smart, always-available, real-time assistant that speaks fluent emergency medicine.

🧠 How to Use It

Just ask a question like you'd ask your colleague. You'll get a clean, structured response instantly.

Common request types:

  • What meds would be best for…
  • How do I…
  • Give me instructions for…
  • What's the differential for…
  • Explain…
  • Make this more patient-friendly…
  • I wonder what would happen…

✅ Benefits

  • Fast: Get answers in seconds — no app switching, no flipping pages, no endless searching through web references
  • Context-aware: Understands the ED, acute care, and how medicine actually works
  • Multifunctional: One tool for reference, discharge, teaching, and more
  • Always available: Works seamlessly within your palmER AI Suite interface

🧠 Real-World Applications

🚑 High-Acuity Scenarios

Critical Decision Support:

  • Rapid sequence intubation in severe asthma - drug choices and considerations
  • Massive transfusion protocol activation criteria and ratios
  • Cardiac arrest in pregnancy - modifications to ACLS protocols
  • Pediatric septic shock resuscitation in first hour

Time-Sensitive Protocols:

  • STEMI activation criteria and door-to-balloon considerations
  • Stroke workup within therapeutic window
  • Trauma team activation for penetrating injuries
  • Anaphylaxis management in patient with beta-blocker use

📊 Diagnostic Challenges

Complex Presentations:

  • Undifferentiated shock in elderly patient with multiple comorbidities
  • Chest pain with atypical presentation in diabetic woman
  • Altered mental status differential in young adult
  • Abdominal pain workup in patient with extensive surgical history

Rare Conditions:

  • When to suspect carbon monoxide poisoning
  • Recognizing thyroid storm vs anxiety attack
  • Diabetic ketoacidosis vs hyperosmolar hyperglycemic state
  • Neuroleptic malignant syndrome identification

📝 Patient Care Optimization

Discharge Planning:

  • Safe discharge criteria for chest pain after negative workup
  • Home care instructions for elderly patient with UTI
  • Return precautions for head injury without CT
  • Follow-up planning for incidental findings

Patient Communication:

  • Explaining normal stress test results to anxious patient
  • Discussing antibiotic resistance with parents
  • Breaking bad news about cancer diagnosis
  • Medication compliance counseling for chronic conditions

🎓 Education and Training

Resident Teaching:

  • Teaching points for common emergency presentations
  • Procedure competency requirements and assessment
  • Case-based learning scenarios for simulation
  • Evidence-based practice integration

Student Guidance:

  • Medical student rotation objectives and expectations
  • Clinical reasoning development exercises
  • Professional communication skills practice
  • Emergency medicine career guidance

📋 Administrative Efficiency

Documentation Support:

  • Billing optimization for complex emergency visits
  • Quality metric documentation requirements
  • Risk management documentation best practices
  • Compliance with regulatory requirements

Workflow Optimization:

  • Efficient handoff communication templates
  • Multi-patient management strategies during busy shifts
  • Consultation request optimization
  • Disposition planning for boarding patients

👥 Specialty Integration

Multi-Disciplinary Care

  • Psychiatry: Medical clearance for psychiatric admission
  • Obstetrics: Emergency delivery preparation and neonatal resuscitation
  • Pediatrics: Age-appropriate medication dosing and communication
  • Geriatrics: Polypharmacy considerations and fall prevention

Procedure Support

  • Invasive Procedures: Central line placement in difficult anatomy
  • Pain Management: Regional anesthesia techniques for fracture care
  • Wound Care: Complex laceration repair techniques
  • Imaging: Bedside ultrasound protocol interpretation

📈 Performance Metrics

Time Savings

  • Reference lookup: 95% reduction in time to find clinical information
  • Documentation: Customized discharge instructions for each patient
  • Education: Improvement in patient comprehension scores
  • Decision support: Reduction in clinical decision uncertainty

ConsultER

Structure specialist consults quickly and professionally with AI-generated scripts

Common Issues & Troubleshooting

Tips for resolving problems and how to get help if something isn't working