Use ESO's AI to Generate Your PCR Narrative

What This Does

ESO's Auto-Generated Narrative feature reads the structured data you've already entered in your ePCR — vitals, interventions, medications, dispatch times — and writes the narrative section for you automatically. Instead of writing from scratch, you review and edit a complete draft.

Before You Start

• Your agency uses ESO as its ePCR platform
• You're logged in to ESO on your tablet or device
• You've completed the structured fields for the call (vitals, treatments, times, patient demographics)
• Check with your supervisor that your agency has enabled the Auto-Generated Narrative feature

Steps

1. Complete all structured ePCR fields first

Fill in all drop-down and data-entry fields as you normally would: dispatch and arrival times, patient vitals, chief complaint, assessment findings, all interventions and medications given, and disposition. The AI narrative is built from this structured data — the more complete your data fields, the better the narrative.

What you should see: A fully completed ePCR with all fields populated except the narrative text box.

2. Find the Auto-Generate button in the narrative field

Navigate to the narrative/notes section of your ESO ePCR. Look for an "Auto-Generate" or "Generate Narrative" button near the narrative text field — it typically appears as a button or icon within or adjacent to the text entry area.

What you should see: A button labeled "Generate Narrative," "Auto-Generate," or similar — ESO uses AI labeling consistent with their documentation.

3. Tap Generate and review the draft

Tap the generate button. ESO will produce a complete narrative summarizing the call in clinical language. Review it for accuracy: the AI knows your data, but you know the call. Look for anything that feels clinically off or missing context from what you observed.

Troubleshooting: If the narrative seems generic or thin, go back and add more detail to your assessment fields — the narrative quality mirrors your data completeness.

4. Edit and personalize

Make any necessary edits: add specific clinical observations that weren't captured in structured fields, adjust phrasing, or add context about the scene that only you know. This takes 2–5 minutes vs. 15–20 minutes of writing from scratch.

5. Submit as normal

Complete the ePCR submission process as you normally would.

Real Example

Scenario: You responded to a 58yo male with chest pain, 8/10, onset 1 hour ago, diaphoretic, BP 172/98, HR 92, SpO2 96%. 12-lead showed ST elevation in leads II, III, aVF. You gave aspirin, nitroglycerin x1, started an IV, and transported priority to the cardiac cath lab.

What you do: Complete all ESO fields — vitals, chief complaint "chest pain," 12-lead findings, medications given (aspirin 324mg PO, nitro 0.4mg SL), IV access documented, transport destination and priority selected.

What you get: A full SOAP narrative: "58-year-old male presenting with complaint of chest pain rated 8/10, onset approximately 60 minutes prior to EMS arrival, accompanied by diaphoresis. Vital signs on initial assessment: BP 172/98, HR 92 regular, RR 16 non-labored, SpO2 96% on room air. 12-lead ECG demonstrated ST elevation in leads II, III, and aVF consistent with inferior STEMI. Patient was treated with aspirin 324mg PO and nitroglycerin 0.4mg SL x1 with partial relief of symptoms. IV access established 18ga right antecubital. Patient transported priority to [hospital] cardiac catheterization lab with no change in status en route..."

Tips

• The more specific your structured fields, the better the AI narrative — "shortness of breath" gets a generic narrative; "dyspnea on exertion, onset 2 days with worsening today, associated with bilateral lower extremity edema" gets a specific one
• Use the generated narrative as a starting point; always add your unique clinical observations
• ESO reported up to 80% reduction in documentation time — even with editing, this is faster than writing from scratch