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HIPAA Compliant

AI Medical Scribe for

Critical Care Medicine Specialists

In the ICU the exam, the vent settings, and the family meeting all happen at speed. Medical Scribe drafts a structured note — systems review through impression and plan — while you stay at the bedside.

Sample note

What your notes will look like

A real example of the documentation Medical Scribe generates for critical care medicine specialists — ready before your patient leaves the room.

ICU Progress Note Ready to copy

Subjective

67M, ICU day 2, septic shock secondary to right lower lobe community-acquired pneumonia. Intubated and sedated; interval history per overnight team: norepinephrine weaned from 0.20 to 0.08 mcg/kg/min, urine output improving. Daughter updated by phone; confirms patient independent at baseline, no advance directive on file.

Review of Systems

  • Constitutional: febrile to 38.4 C overnight, trending down
  • Respiratory: moderate white secretions on suctioning, no new hypoxic events
  • Cardiovascular: no arrhythmias on telemetry
  • Genitourinary: urine output 45 mL/hr, improved from 20 mL/hr on admission

Examination

  • Sedated on propofol, RASS -2; withdraws to stimulus, pupils equal and reactive
  • Vent: AC/VC, TV 420 mL, RR 18, FiO2 40%, PEEP 8; SpO2 96%
  • BP 104/62 on norepinephrine 0.08 mcg/kg/min; MAP 74
  • Chest: bronchial breath sounds right base; abdomen soft; no peripheral edema; right IJ CVC and arterial line sites clean

Investigations

Lactate 1.6 (4.2 on admission). WBC 14.8 from 18.2. Creatinine 1.4 from 1.9. Blood cultures: 1 of 2 bottles gram-positive cocci, speciation pending. This morning's CXR: RLL consolidation, no effusion, ETT and CVC in position.

Impression & Plan

  • 1. Septic shock, improving — continue piperacillin-tazobactam 4.5g q6h (day 2 of 7), narrow when cultures speciate; wean norepinephrine to MAP >65; repeat lactate this afternoon
  • 2. Acute hypoxemic respiratory failure — SAT/SBT this morning; target extubation within 24-48h if trial passes
  • 3. AKI stage 1, resolving — avoid nephrotoxins, trend creatinine, no indication for RRT

Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.

ICU documentation scales with acuity, not with your hours

Rounds move faster than notes

A 16-bed unit means 16 daily notes, each spanning drips, vent settings, lines, labs, and a problem-by-problem plan. The sickest patients generate the most documentation on the days you have the least time.

Every organ system, every day

A critical care note isn't one problem — it's septic shock, respiratory failure, and AKI each with its own impression, investigations, and plan, plus a full systems review behind them.

Family meetings deserve exact records

Goals-of-care discussions, prognosis conversations, and consent for procedures need to be documented as they actually happened — these are the notes that get re-read when decisions are questioned.

AI-Powered Documentation

Real-time transcription that understands medical terminology and clinical context.

Specialty Vocabulary

Recognizes terms, conditions, and procedures specific to your practice area.

Save Hours Daily

Generate comprehensive clinical notes in minutes instead of hours.

HIPAA Compliant

Enterprise-grade encryption and security to protect sensitive data.

Built-in templates

Note templates built for critical care medicine specialists

These aren't generic formats — they ship in the product today, structured around how you actually document.

Critical Care Medicine Specialist's Note

Subjective Review of Systems Objective

Plus 280+ templates across every specialty — or build your own in minutes.

Built for rounds, consults, and the 2am admission

Whether it’s a new consult, a daily progress note, or an admission at the end of a 12-hour shift, Medical Scribe records what’s said at the bedside — your dictated exam, the nursing interval report, the plan you state on rounds — and drafts the note in the built-in Critical Care Medicine Specialist’s Note template. You review and sign when the patient is stable, not instead of stabilizing them.

Problem-by-problem, system-by-system

The generated note mirrors the template intensivists actually use: Subjective, a complete Review of Systems, Objective findings split into Examination and Investigations, then Impression & Plan organized issue by issue — septic shock, respiratory failure, AKI — each with its own diagnosis, planned investigations, and treatment.

Precision when the stakes are highest

Pressor doses, vent settings, antibiotic day counts — transcription errors in critical care aren’t typos, they’re hazards. Medical Scribe documents only what was actually said and observed, never inventing values or findings, and nothing reaches the chart until you’ve reviewed and signed it.

Frequently asked questions

Can it document a bedside exam on a patient who can't speak?

Yes. You verbalize findings as you examine — vent settings, pressor doses, line sites — and they're captured in the Examination section. Interval history from nursing or family lands in Subjective. Only what's said aloud gets documented.

Does it handle family meetings and goals-of-care discussions?

Yes. Record the meeting and the note documents what was actually discussed — prognosis, options presented, decisions made, who was present per the conversation. For discussions that may be revisited later, fidelity to what was said is exactly what you need.

Can the note keep problems separated the way intensivists work?

Yes. The built-in Critical Care Medicine Specialist's Note template structures Impression & Plan problem by problem — each issue with its own impression, differential, investigations, and treatment — after Subjective, full Review of Systems, Examination, and Investigations.

Is it secure enough for an ICU environment?

Medical Scribe is HIPAA compliant, with recordings and notes encrypted in transit and at rest. It runs on iOS, Android, Web, Apple Watch, and Mac, and every note is a draft until you review and sign it.

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