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Emergency physicians, PAs and NPs write the HPI after the first look, the medical decision making after results come back, a procedure note after the laceration is closed and the disposition hours later. Each piece is short, and the words are specific: rapid sequence intubation with etomidate and rocuronium, a FAST exam, tranexamic acid, Glasgow Coma Scale. The Healthcare dictionary in VoicePrivate has 1,222 emergency medicine terms, and it borrows from trauma, toxicology, cardiology and pediatrics.
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The parts of an ED chart you can dictate
| Section | What goes in it |
|---|---|
| HPI and exam | Mechanism, onset, pertinent positives and negatives, focused exam findings |
| Medical decision making | Differential, results reviewed, risk discussion, reasons for admission or discharge |
| Procedure notes | Laceration repair with length and layers, intubation, central line, splint, reduction, sedation |
| Critical care | Time, organ systems at risk, interventions such as defibrillation, vasopressors, resuscitation |
| Disposition and discharge | Reassessment, consultant discussions, return precautions written for the patient |
Emergency words general dictation gets wrong
- "surgical cricothyrotamy" to surgical cricothyrotomy
- "malignant hyperthermea" to malignant hyperthermia
- "nueroleptic malignant syndrome" to neuroleptic malignant syndrome
- "manitol" to mannitol
- "cephalhaematoma" to cephalohematoma
- "reverse Colles" to Smith fracture
- "trauma triad" to lethal triad and "Wallace rule of nines" to rule of nines
- "Level 1 infuser" to rapid infuser
These pairs come from the emergency medicine list in the Healthcare dictionary, which stores the mishearing next to the correct term.
What choosing Emergency Medicine does
On Mac, open Settings and set the Medical specialty to Emergency Medicine. Recognition is then primed with intubation, rapid sequence, etomidate, rocuronium, succinylcholine, ketamine, pneumothorax, hemothorax, FAST exam, tranexamic acid, Glasgow Coma Scale, laryngoscopy, cricothyrotomy, defibrillation, epinephrine, naloxone, sepsis, tachycardic, hypotensive, laceration, fracture, splint, cervical collar, trauma and resuscitation. A long misheard word that is a near miss of one of them is matched to it first. Windows shows no picker and uses the full medical dictionary.
Example: a trauma patient, dictated in pieces
- HPI. Click into the HPI, press Ctrl+Shift+Space on Windows or Command+Shift+Space on Mac and say: "Forty two year old restrained driver, highway speed collision, Glasgow Coma Scale 14 on arrival, left chest wall pain." Press the hotkey again.
- Results: press the hotkey and say: "FAST exam negative. Chest x-ray with small left pneumothorax. Tachycardic to 118, not hypotensive." Press the hotkey again.
- Procedure note: press the hotkey and say: "6 centimeter laceration left forearm, irrigated, closed with 7 simple interrupted 4-0 nylon sutures." Press the hotkey again.
- MDM and disposition: press the hotkey and say: "Given trauma mechanism and pneumothorax, trauma surgery consulted, admitted for observation and repeat chest film. Tranexamic acid not indicated." Press the hotkey again.
Into Epic ASAP, FirstNet and MEDITECH
VoicePrivate pastes the finished text through the clipboard and then restores what you had copied. It works in the free text fields of Epic ASAP, Oracle Health FirstNet (Cerner), MEDITECH Expanse and other ED systems that accept a paste. Most ED workstations open the EHR through Citrix or another remote desktop, and that session must allow clipboard redirection from the computer running VoicePrivate. VoicePrivate itself has to be installed on that local Mac or Windows PC. The EHR dictation guide covers each system.
On-device facts
Speech is processed on the computer that runs VoicePrivate. Audio never leaves it, and nothing is sent to a cloud service. With Auto-save transcriptions on, which is the default, each dictation is also kept in the app's Library on that computer. Turn it off in Settings if you want the EHR to hold the only copy, which matters on a shared ED workstation.
Price
Healthcare Edition is $297 a year or $34.99 a month per clinician. There is no free trial. Individual monthly and annual plans have a 30-day money-back guarantee on the first payment. Groups of 2 to 20 clinicians can buy team seats.
Emergency medicine dictation FAQ
Does it work on a shared ED workstation?
VoicePrivate runs on the computer it is installed on, under that computer user account. On a shared workstation, turn off Auto-save in Settings so dictations are not kept in the Library.
Can I dictate into Epic through Citrix?
Yes, when the Citrix session allows clipboard redirection from your computer. VoicePrivate runs locally and pastes into the remote window.
Does text appear while I talk?
No. Press the hotkey to start and again to stop. The finished text is pasted a moment later.
Does it know drug doses and procedure terms?
Yes. Induction agents, paralytics, reversal agents and procedure terms are in the Healthcare dictionary. Check doses in the pasted text before signing.
Is there a free trial?
No. Individual monthly and annual plans are charged at checkout with a 30-day money-back guarantee on the first payment. Team plans and renewals are not covered.
Emergency work hands off to surgical dictation for trauma, radiology dictation for imaging reads and cardiology dictation for chest pain workups. Comparing tools? See Dragon Medical One vs VoicePrivate.