Emergency Medicine Ambient AI Scribe

Ambient AI for
the pace and complexity of
the emergency department

Every moment matters in the emergency department, where clinicians juggle lifesaving care, rapid assessments, coordination across multiple teams, and detailed documentation–all at once.

Ambience is the most specialty-tuned, Epic-integrated ambient AI technology built for the ED, blending seamlessly into fast-paced workflows without compromising quality, compliance, or accuracy. 


Used in EDs nationwide
since 2024

75K+

encounters

10+

sites spanning spanning rural and urban hospitals across Level II-V trauma centers

Streamlined ED Workflows

A seamless workflow in the ED starts with a robust Epic integration: Ambience reads and surfaces ICD-10 diagnosis codes, and writes back to key documentation sections including HPI, PE, results, MDM, attestations, diagnostic results, lab results, ROS, procedures, patient instructions, and more.

One-tap launch

Once providers assign themselves a patient on the ED Trackboard, the patient’s information instantly appears in the Ambience mobile app.

Mid-encounter notes

Enables the capture of initial details (such as HPI) during intake, then pausing and resuming a recording for MDM and disposition. This stepwise approach keeps care teams informed while maintaining flexibility for completing the ED course and finalizing the MDM.

Visit hopping

Clinicians effortlessly switch between patients without interruption, Ambience can handle unlimited simultaneous recordings.

Smart dictation

Generates documentation using natural speech, ideal for building differential diagnoses, developing ER courses, coordinating consults, or generating follow-ups.

Context-aware 
patient summaries

Automatically generates patient instructions at a clear, patient-friendly reading level, ready upon disposition or discharge.

Accurate & High-Quality
Documentation for the ED

Capture every critical detail, including admissions, coordination of care, medical
decision-making, multiple speakers, consults, transfers, and disposition planning.

1

Customized provider note templates

Offers flexible configurations to match distinct documentation styles, promoting stronger adoption.

2

Clarity

Standardized opening line in assessment for improved clarity.

3

Medical decision-making (MDM)

Captures comprehensive diagnosis articulation and differential diagnoses in the appropriate format, including a traditional Impression & Plan.

4

Multi-speaker attribution

Distinguishes input from EMS, law enforcement, social workers, family, other ED staff, and specialists, capturing relevant information from each source.

5

Concise evidence

Subjective information and physical exam findings kept brief and only used to provide evidence for differential diagnoses.

6

Procedure capture

Documents fracture care, splinting, lacerations, labs, physical exam findings, and critical care documentation with accuracy.

7

Timestamping

Records the precise time of events, interventions, or consultations–ensuring compliance for time-sensitive ED procedures.

8

Patient disposition

Tracks patient education, management, and care plans, including patient transfer documentation to support EMTALA requirements when needed.

Emergency-Medicine

1. Medical decision-making (MDM):

Captures comprehensive diagnosis articulation and differential diagnoses in the appropriate format, including a traditional Impression & Plan.

2. Medical decision-making (MDM):

Captures comprehensive diagnosis articulation and differential diagnoses in the appropriate format, including a traditional Impression & Plan.

3. Medical decision-making (MDM):

Captures comprehensive diagnosis articulation and differential diagnoses in the appropriate format, including a traditional Impression & Plan.

4. Medical decision-making (MDM):

Captures comprehensive diagnosis articulation and differential diagnoses in the appropriate format, including a traditional Impression & Plan.

Emergency-Medicine

MDM:

Impression/Plan: 45 y.o male with history of diabetes and two prior MIs presenting with two weeks of concomitant chest pain, left arm pain, and swelling in the left LE. Exam did not reveal any tenderness with palpation of the chest, heart with normal rate and rhythm, no pitting edema in bilateral LEs and no significant tenderness with movement of the left arm and shoulder. Labs show elevated troponin at 843 and BNP 835 as well as mild AKI with a creatinine of 1.5. Chest x-ray showed trace right-sided pleural effusion, but no significant consolidations. Given patient’s history and elevated cardiac markers, a cardiac etiology for the chest pain is highly suspected. Initiated heparin for unstable angina and will admit patient to cardiac unit for further management under Dr. Smith; Dr. Smith consulted at 13:00 and he agrees to admit. Patient and his family has been informed of plan to admit and agree with plan.


EKG Report: EKG performed on 02/15 at 11:50 AM. Interpretation: Normal sinus rhythm, 64 beats per minute, no ST elevations, no abnormal T-wave inversions, narrow QRS, normal PR and QT interval. Independently interpreted by me.


Imaging: Chest x-ray shows trace right-sided pleural effusion, but no significant consolidations. I independently interpreted the chest x-ray.


Consideration of Admission: Patient admitted to Cardiology.


Diagnoses: Chest pain; Elevated Troponin

Optimized CDI & Billing

Improve coding accuracy, capture critical care documentation, and streamline reimbursement.

Critical care nudging
Structured, discrete documentation
ICD-10 diagnosis coding:

Surfaces shortcuts for accurate and specific diagnoses for addition and automatically generates coding-compliant MDM documentation.

See Ambience in action