Clinical decision support & documentation for EMS

Your medics talk.
The chart writes itself.

One platform for the whole call — real-time, evidence-based decision support and hands-free documentation, computed from your own protocols, not generated by a chatbot. In pilot with select agencies.

See the full platform Start a pilot

No-charge pilot · ~10-minute setup · No patient data until you're set up

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See the full platform

Enter your access code, two quick details, and you're in. The detailed overview and the walkthroughs are confidential.

No access code? Request one · Ready to pilot? Start here.

The whole call, one system

Most tools cover the ride. This covers the patient.

Three parts, one platform — built around the call your medics actually run.

Before & after the call
Beacon — the patient app
The history is there before you are.

Patients carry their own record — allergies, medications, hospitalizations, history — imported from Epic with the patient reviewing exactly what's shared, and handed to the crew before arrival and during the call. Every fact is timestamped and sourced — no guessing whether the med list is from today or 2019. After the call, outcome feedback flows back — the loop EMS has never had.

During the call
OMD — the field app
Hands on the patient, not the keyboard.

Speak the call. OMD writes the NEMSIS-ready PCR, computes your protocols live — dosing, contraindications, destinations — streams monitor data (Zoll integration), and drafts the CMS-1500 before the unit is back in service.

Behind every call
CKOS — the engine + Builder Lab
Your protocols, computed — and governed.

A deterministic clinical core built from evidence-based literature and your own protocols — ingested, customized, and signed off by your medical director. QI happens in real time with the PCR, and MDs and educators can zoom from a single call to the whole system.

Computed, not generated

Computable EMS medicine — not another document platform. Not an LLM wrapper.

Guidance your medical director can defend — every recommendation traces to the literature and your protocols. AI reads documents and surfaces suggestions; it never makes the clinical call.

Any EHR can store a blood pressure of 86. OMD knows that's hypotension in the context of your chest pain protocol, blocks the nitroglycerin it contraindicates, tells the medic what would raise certainty — a 12-lead — and cites the exact protocol chunk behind every recommendation. In under 100 ms, with no internet connection, on a tablet in the back of an ambulance.
Citable by designA deterministic core compiled from evidence-based guidelines and your standing orders — not free-text generation. Every dose, contraindication, and destination is traceable to its source, and the engine shows its certainty instead of hiding it.
Your protocols, your sign-offIngest your agency's own protocols and formulary, customize exactly how guidance behaves, and your MD reviews and approves it — or start from the baseline evidence-based set. Protocol changes never wait on a developer.
Ambient, not dictationSpeech is ambient sensing — the medic talks the call, not at a recorder. The guidance and the documentation are the same thing: medics document care by delivering care, not by filling out a form afterward.
Better with every shiftCKOS continuously ingests new literature and guidelines as they develop, and outcome feedback flows back through Beacon — the system sharpens with use.
Safety as a hard constraintThe compiler rejects unsatisfiable rules before they ever reach a medic, and dosing overrides that deviate by an order of magnitude are flagged and hard-gated at MD approval — rails in the machinery, not in a policy binder.
Built for your stackNEMSIS-validated exports, clean CMS-1500 billing output, Zoll monitor streaming for capable units, and your existing ePCR workflow.
190+clinical actions, computed live
30+protocol groups
50+drugs with structured dosing
<100 msguidance, fully offline
IL + MONEMSIS-validated exports

See it in action

Two walkthroughs, plus a demo you can drive.

Much of what you'll see doesn't exist anywhere else in the field. Try the interactive sample call, or watch the two short walkthroughs.

▶ Try a live call — interactive
OMD — The Shift2-min field walkthrough
CKOS — The platform3-min system overview

How a pilot works

From "never heard of it" to live — mostly on its own.

The pilot is no-charge and runs in-flow: agreements e-signed on screen, workspace provisioned for you, setup fully guided.

1Apply — six fieldsAgency, state, contact. Pre-fills your agreements and tunes OMD to your state. Invite-only during the pilot phase.
2Sign in-flowBAA + Pilot Agreement, pre-filled and e-signed on screen with a tamper-evident audit trail.
3Go liveWe provision your workspace; you follow a ~15-minute guided setup — invite medics, assign your MD, approve your clinical set.
Start a pilot

HIPAA-aligned · No patient data flows until your BAA is signed and your workspace is live.