# AT Elements ER 4x4 (Female) — AAC for the emergency room

> AAC for the emergency room (iPhone/iPad app by Alexicom Tech LLC.)

- Source: https://appshunter.io/ios/app/at-elements-er-4x4-female/id1505386746 (this page in markdown: same URL + `.md`)
- Developer: [Alexicom Tech LLC](https://appshunter.io/developer/395122091)
- Category: Medical, Health & Fitness
- Price: $0.99
- Age rating: 17+
- Requires: iOS 11.0 · 11 MB
- Languages: English
- Released: 2020-03-31
- Data updated: 2026-06-04
- User reviews in markdown: https://appshunter.io/ios/app/at-elements-er-4x4-female/id1505386746/reviews.md

## What is AT Elements ER 4x4 (Female)?

Specifications: 
Age: Any (fluent)
Setting: Emergency room
Voice: Female (AT&T Natural Voice) 
Language: US English 
Grid size: 4 rows x 4 cols
Symbol set: Real images
No. pgs: 25

Features Include: 
• Pages for concerns and questions, pain, body, breathing, preferences, phone calls, conditions and feelings, medical history, medications, health issues, allergies, work, and time
• 4x4 grid with large buttons is ideal for those with impaired vision and/or limited mobility
• Easy editing and customization 
• Add an unlimited number of speaking, linking pages 
• Camera image acquisition directly in each cell 
• Access to all provided images 
• Easily show, dim, or hide cells 
• Dimmed cell opacity is fully adjustable 
• Dimmed cells remain active or can be disabled 
• 'Restore mode' brings deleted pages from the provided page set back to their original state
• iOS text-to-speech (TTS) and recorded audio 
• Adjust iOS TTS voice, speech rate, pitch, and volume
• Configure different TTS voice output settings for the user's voice and the auditory preview voice (when in scanning mode)
• International language support, including right-to-left text entry
• Word prediction with a 150k word library 
• Optional word learning and tracking of frequency of word use 
• 1x-3x cell magnification for low vision (scanning and direct select modes) 
• List of pages includes page previews and a search bar
• Undo button 
• 30-day user activity log in AAC Institute's LAM format 
• Data tracking with privacy toggle and recording indicator 
• Data logs may be copied for printing, sharing, and PeRT analysis
• Send messages to email and SMS & MMS text via email
• Pages may be backed up to a computer with iTunes File Sharing and a USB cable
• iCloud backup may be enabled 

Switch support:
• One- and two-switch scanning 
• Sequential and row/column scanning 
• Auditory preview
• Bluetooth and direct touch scanning 
• Supports RJ Cooper, AbleNet, Therapy Box, and Inclusive Technology Bluetooth switches


## Version history (last 2 releases)

### 1.1.0 — 2023-07-17

• Improved user interface with larger multi-line text buffer and larger Speak, Clear, and Undo buttons
• User's home page is immediately loaded upon start-up
• Home page quick launch icon has been added to page list for easy return to user's specified home page
• Search feature has been widened to include AAC page content to locate words on AAC pages
• Dark mode display enhancements
• Optimized for iOS 15.5
• Requires iOS 11.0+

### 1.0.0 — 2020-03-31

No release notes.

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## More apps by Alexicom Tech LLC

- [Alexicom AAC](https://appshunter.io/ios/app/alexicom-aac/id395122088)
- [AT Elements Child Home (Male)](https://appshunter.io/ios/app/at-elements-child-home-male/id499866053)
- [AT Elements Child Home (F)](https://appshunter.io/ios/app/at-elements-child-home-f/id499869023)
- [Alexicom Elements Story Maker](https://appshunter.io/ios/app/alexicom-elements-story-maker/id505819663)
- [AT Elements Teen Home (Male)](https://appshunter.io/ios/app/at-elements-teen-home-male/id510693015)
- [AT Elements Teen Home (Female)](https://appshunter.io/ios/app/at-elements-teen-home-female/id510694321)

All apps by Alexicom Tech LLC: https://appshunter.io/developer/395122091

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-06-04.*