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VigilED
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A quiet guardian for emergency care

Another layer of
clinical vigilance.

VigilED is a pilot-stage clinical safety product designed to use AI to connect the evolving patient chart and surface critical concerns—while the clinician can still act.

Physician-led. Designed for the emergency department.
Inside the VigilED conceptClinical context. At a glance.
Vigil EMR v44 synthetic chart with the monitoring panel open, Visibility toggle, floating V control and green indicator.
Captured from the working demo. Synthetic patient data.Pilot-stage development · EMR integration planned
01Quiet by design
02Grounded in clinical context
03The clinician stays in control
The reason we’re building

The chart keeps evolving.
So should the safety layer.

Emergency care unfolds across triage notes, investigations, orders, reassessments and handovers. The clinical picture changes. An important detail can become consequential only when the next piece arrives.

Our vision is an AI-powered clinical exoskeleton: a quiet layer of support that connects notes, results and orders as the encounter evolves, bringing critical concerns into focus at the moment of decision.

The VigilED experience

Present when it matters.

Case example · A potentially devastating consequence. Following syncope and a head injury, a patient’s chart shows both an elevated troponin and an acute intracranial bleed. Explore how VigilED connects these findings when aspirin is ordered.

Vigil EMR v44 synthetic syncope and head injury case with troponin and CT results, a floating V control and green indicator.
Lead case · Syncope and head injury · Synthetic encounter
Quiet monitoring · Design intent

Support that fits
around the clinician.

The EMR plug-in is designed to follow documentation, results and orders without obstructing the clinician’s workflow. A discreet, movable Vigil indicator keeps support within reach and can be minimized when needed.

Relevant context comes first. Interruptions are designed to be reserved for critical safety concerns that could lead to serious patient harm.

Vigil EMR v44 high-priority aspirin alert beside the CT bleeding finding, with the updated V control and green indicator.
ASA order and acute intracranial bleed · Synthetic interaction
Focused intervention · Demonstrated interaction

The troponin is elevated.
The CT shows a bleed.

An elevated troponin may draw attention toward cardiac treatment, while the CT report reveals an acute intracranial bleed. When aspirin (ASA) is ordered, VigilED brings that bleeding finding into the decision for immediate clinician review.

Access the demo

We are expanding the pilot product with hundreds of additional safety scenarios undergoing physician review and testing.

Graduated attention

A quiet indicator, advisory prompts and priority reviews form the proposed alert hierarchy.

Visible reasoning

The concern should be understandable in the context of the patient’s chart.

Clinical judgment

The physician assesses the finding and determines the next action.

Clinical intelligence, shaped by clinicians

Every insight can help
build a better safety layer.

Our physician network is developing an evolving library of safety scenarios grounded in frontline practice. In tandem, we are developing a proprietary companion app that turns physician feedback and new safety scenarios into reviewed, testable product improvements.

  1. Capture clinical insightSubmit a scenario or explain why a finding was useful, incomplete or unnecessary.
  2. Review and curateClinicians assess context, relevance and evidence before a scenario enters the evaluation library.
  3. Evaluate the improvementUse curated cases to test proposed model, rule and alert changes.
  4. Release with oversightApproved, versioned updates follow evaluation and institutional governance.
VigilED phone companion concept for physician feedback and submission of new clinical safety scenarios.
Phone companion · Concept
Building with institutions

Pilot-stage development.
Built with clinicians.

VigilED is at the pilot stage. We’re seeking institutional collaborators to support evaluation, shape implementation and establish the evidence for clinical use.

01 / Define

Start with the right problem.

Work with clinical champions to select high-value safety scenarios, map workflow and agree on success criteria.

02 / Evaluate

Build evidence together.

Plan retrospective evaluation and prospective silent monitoring to assess relevance, missed findings and alert burden.

03 / Introduce

Move forward deliberately.

Consider clinician-facing use only after the required evidence, integration work and institutional approvals.

Ideal collaborators include emergency medicine leaders, quality and patient safety teams, clinical informatics and hospital innovation groups.

Discuss a pilot
Founded in frontline practice

Dr. Guillaume Pelletier

Emergency physician · Medical director · Founder

VigilED draws on a decade of emergency medicine experience and direct clinical leadership. Its starting point is the work itself: complex decisions, evolving information and the responsibility of caring for patients in real time.

A few important questions

Clarity from the start.

What is working today?

The interactive demo demonstrates patient chart review, order entry and selected alert interactions using synthetic patients and predefined safety scenarios. It illustrates the intended workflow while the AI-powered product is developed.

How will VigilED fit into an EMR?

The planned product is an EMR-connected plug-in. Integration architecture, data access and deployment will be developed with technical and institutional partners.

What is the phone companion for?

The proprietary companion app is being developed alongside the EMR plug-in. It will support clinical scenario submissions, structured physician feedback and review updates, helping improve the product through a governed feedback loop.

Does feedback update the model immediately?

No. The proposed process includes clinical review, data curation, evaluation and approval before model, rule or alert changes are released. It does not imply uncontrolled learning from patient encounters.

The wider vision

Vigilware

One clinical safety vision. Multiple specialties. VigilED is our first product focus, with future concepts extending the approach across care.

VigilEDEmergency care · Pilot stage
VigilMedFuture concept · Medicine
VigilSurgFuture concept · Surgery
VigilScribeFuture concept · Documentation
Let’s build the next layer of care

See the vision.
Help shape what comes next.

Request a product walkthrough or start a conversation about institutional collaboration.