How MedSpeech Accurately Extracted and Structured a Case of Acute Liver Failure from a Complex ICU Follow-Up Call

In toxicology consultations, precision matters. Documenting the right lab values, treatments, and clinical changes can directly impact care, follow-up, and outcomes. However, traditional speech-to-text tools lack the clinical intelligence to differentiate between a benign number and a life-threatening trend.

In a recent ICU follow-up call in Arizona, MedSpeech demonstrated how clinical AI transforms routine documentation into structured, accurate, and actionable insight, without relying on human memory or generic dictation software.

Case Summary: Severe Toxicity and Multi-Organ Dysfunction

A poison control follow-up call revealed the following clinical picture:

• Patient status: Intubated and unresponsive, but with preserved cough, gag, and pupillary reflexes

• Hemodynamics: On two vasopressors for bradycardia and junctional rhythms

• Renal support: 24-hour continuous dialysis

• Respiratory: Breathing over ventilator, FiO₂ 95% (on 45% oxygen)

• Mental status: No meaningful response

Laboratory Findings (Extracted by MedSpeech)

What MedSpeech Did Differently

Corrected Misheard Medical Terms

• “F b o two” ➝ FiO₂

• “Carnitrol” ➝ Carnitine

• “Methyl methamoglobin” ➝ Methemoglobin

Identified and Interpreted Key Abnormalities

• Flagged elevated ammonia, liver enzymes, coagulation parameters, and renal impairment

• Highlighted administration of vasopressors and carnitine

Structured Output: Medical Toxicology SOAP Note

MedSpeech automatically generated a fully formatted SOAP note, including:

• Subjective: Unresponsive, intubated, receiving carnitine

• Objective: Multi-system lab abnormalities, on dialysis, and vasopressors

• Assessment: Acute liver failure, coagulopathy, suspected valproic acid toxicity

• Plan: Continue CVVH, monitor labs, titrate vasopressors, maintain carnitine therapy

MedSpeech System Components Used in This Case

Clinical Value of MedSpeech

In severe toxic exposures with multi-organ involvement, every misstep in documentation risks treatment delays, confusion during handoffs, and missed reporting.

MedSpeech ensures:

• Accurate capture of nuanced clinical details

• Automatic interpretation of lab data

• Immediate readiness for record inclusion or toxicologist handoff

This case showcased severe toxicity with lab-confirmed hepatic failure, hyperammonemia, coagulopathy, and the need for critical care support. MedSpeech processed the entire call, including corrections, interpretation, and SOAP output, without manual transcription or secondary review.

Final Word

Generic dictation stops at transcription.
MedSpeech goes further — into structured, toxicology-aware documentation that helps save lives and time.

Explore MedSpeech at:
🔗 https://medicaltoxic.com/services/medspeech