An AI medical scribe for emergency medicine
In emergency medicine the note is written between patients, often hours after the assessment, and it has to show your reasoning and your safety checks. ClearPass transcribes the assessment at the bedside, writes an English draft in your chosen structure, and marks numbers that were never said, so you can finish the note sooner and with fewer gaps.
What an emergency note must show
- Time-stamped key events: arrival, assessment, results, reassessment, decision. State times aloud if you want them in the note.
- History with mechanism for injuries, and red-flag negatives for the presenting complaint.
- Initial vital signs and any repeat set, with oxygen requirement.
- Focused examination and any bedside tests: ECG, glucose, urine, point-of-care ultrasound findings.
- Differential diagnosis and the reasoning for ruling out the dangerous causes, including any decision tool used.
- Treatment given with dose and time, response, and disposition.
- Discharge advice and follow-up, or the handover to the admitting team.
Example: chest pain, low risk
A SOAP note, Detailed. Invented patient and results.
S: 34-year-old. Left-sided chest pain for 2 days, sharp, worse on deep breath and pressing on the chest wall. Started after moving furniture. No exertional pattern, no syncope, no leg swelling, no recent travel or surgery. No cardiac history. Non-smoker. O: HR 78, BP 124/76, RR 16, SpO2 99% air, temp 36.8 C. Tender over left 4th and 5th costochondral junctions, reproducing the pain. Heart sounds normal, chest clear, calves soft. ECG: sinus rhythm, no acute changes. High-sensitivity troponin at 0 and 1 hour below the rule-out threshold. PERC negative. A: Musculoskeletal chest wall pain. ACS and PE considered and not supported. P: Discharged with ibuprofen and paracetamol. Return if pain changes character, comes on with exertion, or with breathlessness or fainting. Primary care follow-up if not settling in a week.
Emergency / Critical Care templates
The Emergency / Critical Care group has guided templates for head CT, chest pain, acute abdomen, major trauma, stroke and TIA, sepsis, acute breathlessness, anaphylaxis, poisoning and overdose, seizure, collapse and syncope, limb injury, acute GI bleed, and acute psychiatric presentations.
Procedures such as suturing, reductions and blocks fit the Procedure structure. For ICU and resuscitation settings, see the critical care page.
Discharge documents
The most useful output after the note is often the discharge advice. Patient instructions turn your safety-netting into plain language the patient can take home. A sick note and a referral letter to a fracture clinic or specialist follow from the same assessment.
Urgent imaging sometimes still needs a justification afterwards; the CT prior authorization page covers that. For walk-in and minor injury settings, the urgent care page is closer to your workflow.
Working it into a shift
The practical pattern for most emergency clinicians: tap Transcribe at the bedside after confirming consent, take the history and examine, tap Stop. The draft is waiting when you return to a computer or pick up your phone. Results and reassessment are added later through the Ask box.
Because the note history lives only in the browser on the device you used, finish and paste the note on that device before the end of the shift.
What to check before you sign
- Times and doses of treatments given.
- Vital signs: first set versus repeat set.
- Decision tools: the components should be visible, not only the result.
- Side and site of injuries.
- Discharge advice written as you gave it.
In a noisy department transcription quality falls. Speak findings clearly and review with the numbers check first.
What ClearPass does not do
- It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
- It is not a medical device and does not make clinical decisions. It is a documentation aid.
- It does not connect to your EMR. The note is copy-ready text that pastes into any system.
Privacy
Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.
Questions
Does it work in a noisy department?
It works, but background noise, alarms and overlapping voices reduce quality. Stand close to the device and review the draft carefully.
Can it handle a patient seen in several stages?
Transcribe the initial assessment, then use the Ask box to add the results and reassessment, for example 'add: troponin repeat negative, pain settled'.
Can I transcribe several patients in one session?
Yes. Several patients can be transcribed in one session and separated. Check each note belongs to the right patient.
Does it connect to our ED tracking system?
No. There is no EMR integration. The note is copy-ready text.
What does ClearPass cost?
The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.
Try it on your next clinic day
The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.
Start free — 7 days, no card