ED Triage Copilot
Mock dashboard Sign in Request access
Prototype — not for clinical use. Clinical validation in progress.
Ambient · triage · live

Turnwaitingroomtimeintodiagnostictime

Critical illness caught, workup done — before the doctor walks in.

Initiate the work up in triage.

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TRIAGE BAY 04 · 14:25
ESI 2 Mrs. Jane Doe 78F · Altered mental status
HEARD JUST NOW
When did the fever start?
sepsis flag workup staged penicillin allergy
Output
  • ✓Lactate, blood cultures x2
  • ✓CBC, CMP, procalcitonin
  • ✓Urinalysis + urine culture
  • ✓Chest X-ray
  • ✓12-lead ECG
  • ✓IV access x2, fluid bolus per protocol
  • ⚠ Sepsis / septic shock
  • ⚠ Community-acquired pneumonia
  • · Urinary tract infection / pyelonephritis
  • · Intra-abdominal source
  • · Meningitis (lower likelihood)
RN NOTE · DRAFT

78F brought in by daughter. Fever and weakness since yesterday afternoon, mild cough, dysuria x3 days. New confusion per family, not baseline.

HR 118, BP 92/58, RR 24, T 101.8°F oral, SpO2 94% on room air. Penicillin allergy — rash.

Sepsis pathway initiated from triage. Awaiting RN review and signature.

SEPSIS 1-HOUR BUNDLE
42:11 to bundle
↓ SCROLL TO WATCH THE FULL RUN
Patient throughput ↑Triage accuracy ↑Patient satisfaction ↑Door to doc time ↓Time to ECG ↓Sepsis bundle time ↓Documentation time ↓Missed diagnosis rate ↓Length of stay ↓LWOBS ↓
Patient throughput ↑Triage accuracy ↑Patient satisfaction ↑Door to doc time ↓Time to ECG ↓Sepsis bundle time ↓Documentation time ↓Missed diagnosis rate ↓Length of stay ↓LWOBS ↓
Mock dashboard · self-running
One triage conversation to start the work up from the waiting room
ED Triage Copilot 14:22 · PATIENT ARRIVES
ESI 2 computing acuity Mrs. Jane Doe 78F · Altered mental status
HR 118 BP 92/58 RR 24 Temp 101.8°F SpO2 94% RA
WHY ESI 2 BP 92/58 fever + new confusion RR 24 age 78
DEADLINE CLOCK Sepsis 1-hour bundle
42:11 remaining
ADDITIONAL QUESTIONS TO PATIENT
  • Onset and duration of fever?
  • Recent travel or sick contacts?
  • Any indwelling catheters or lines?
  • Baseline mental status vs. now?
DIFFERENTIAL DIAGNOSES
  • ⚠ Sepsis / septic shock
  • ⚠ Community-acquired pneumonia
  • · Urinary tract infection / pyelonephritis
  • · Intra-abdominal source
  • · Meningitis (lower likelihood)
INITIATE WORKUP FROM TRIAGE
  • ✓Lactate, blood cultures x2
  • ✓CBC, CMP, procalcitonin
  • ✓Urinalysis + urine culture
  • ✓Chest X-ray
  • ✓12-lead ECG
  • ✓IV access x2, fluid bolus per protocol
  • ✓Reassess vitals q30min
NURSING INTERVENTIONS
  • Continuous cardiac and SpO2 monitoring
  • Supplemental O2 to keep SpO2 ≥ 94%
  • Antipyretic per standing order
  • Strict intake/output, Foley if indicated
  • Fall and delirium precautions
  • Notify MD for MAP < 65 or new hypoxia
[illustrative mockup for future customer-facing model — not a live screenshot]
[Produced by ambient listening to triage-nurse and patient. Vitals captured from EHR]
Where the work starts
Put the work up in the waiting room time
Today
Workup begins after the doctor
Triage
Waiting room
MD exam
Orders placed
Labs and imaging running
With ED Triage Copilot
Workup begins in triage
RUN IN PARALLEL
Triage
Orders placed
Labs + imaging
MD exam
→
Results in hand
Dispo
Illustrative sequence of steps, not measured timings.
Deadline clocks
ED Triage Copilot
Catch time critical illness
Capture accurate acuity, triage safer: Almost 1/3 of current ESI assignments are incorrect*
DEADLINE CLOCK Sepsis 1-hour bundle 42:11 remaining
DEADLINE CLOCK Pediatric sepsis 47:00 remaining
DEADLINE CLOCK ECG 01:28 remaining
DEADLINE CLOCK Stroke 21:00 remaining
ED Triage Copilot
ED Triage Copilot is an ambient ingestion of triage intake to produce actionable items
See the mock dashboard ›
Triage intake record
Jane Doe 78F · MRN 4419087 · Bed 04 · Arrived 14:22
Ambient mic active
HR
118
Tachycardic
BP
92/58
Hypotensive
RR
24
Elevated
Temp
101.8°
Oral
SpO2
94%
Room air
Pain
4/10
Reported
Conversation 3 of 10 utterances
Nurse 14:24
Hi Mrs. Doe, I'm Alia. What brought you in today?
Patient 14:24
My daughter brought me. I've been hot and shaky since yesterday and very tired.
Nurse 14:25
When did the fever start?
Listening
Extracted
Chief complaint Fever and weakness, onset ~24 hrs Awaiting
Symptoms Mild cough · dysuria x3 days Awaiting
Mental status Acute confusion per family Awaiting
Meds / allergy Home meds confirmed · penicillin rash Awaiting
Allergies
Penicillinrash
SulfaGI upset
Code status
Full · Reviewed 02 Jun 2026
History
Medical
Type 2 diabetes (2009)
Hypertension
Atrial fibrillation on apixaban
CKD stage 3
Recurrent UTI
Surgical
Cholecystectomy 2016
Right total knee arthroplasty 2019
Appendectomy 1974
Medications
Lisinopril 10 mg daily
Metformin 500 mg BID
Apixaban 5 mg BID
Atorvastatin 20 mg nightly
Social
Never smoker · No alcohol · Lives with daughter
Captured from EHR at 14:26
This record produces the workup and intervention list→
←Generated from the intake record
INITIATE WORKUP FROM TRIAGE
  • Lactate, blood cultures x2
  • CBC, CMP, procalcitonin
  • Urinalysis + urine culture
  • Chest X-ray
  • 12-lead ECG
  • IV access x2, fluid bolus per protocol
  • Reassess vitals q30min
NURSING INTERVENTIONS
  • Continuous cardiac and SpO2 monitoring
  • Supplemental O2 to keep SpO2 ≥ 94%
  • Antipyretic per standing order
  • Strict intake/output, Foley if indicated
  • Fall and delirium precautions
  • Notify MD for MAP < 65 or new hypoxia
↑
Patient throughput
↑
Triage accuracy
↑
Patient satisfaction
ED Triage Copilot
↓
Time to critical alerts
↓
Door to doc time
↓
Time to ECG
↓
RN/Doc documentation time
↓
Sepsis bundle time
↓
Missed diagnosis rate
↓
Length of stay
↓
LWOBS
Expected effect

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Current build

Working on validation and system architecture.

Future plans
  • HIPAA and SOC 2 compliance
  • Native connection into EHRs
  • Ambient voice-to-text recognition
* (Sax et al., JAMA Network Open, 2023 — 21 Kaiser Permanente EDs, 5M+ adult visits, 2016–20). The remaining 28% splits into over-triage (25%, wastes ED resources) and under-triage (3%, the smaller share but the one that misses critical illness and delays care).