# palmEM AI: EM Quick Reference — AI Emergency Medicine Guide

> AI-powered emergency medicine quick reference and clinical decision support tool. (iPhone/iPad app by palmER Worldwide LLC.)

- Source: https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047 (this page in markdown: same URL + `.md`)
- Developer: [palmER Worldwide LLC](https://appshunter.io/developer/481034130)
- Category: Medical, Education
- Price: Free with in-app purchases
- Rating: 4.20/5 from 72 App Store ratings · 97 written reviews indexed
- Age rating: 17+
- Requires: iOS 14.0.0 · 139 MB
- Languages: American English
- Released: 2011-11-22
- Data updated: 2026-08-28
- Monetization: free with in-app purchases
- User reviews in markdown: https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047/reviews.md

## What is palmEM AI?

palmEM: Emergency Medicine Quick Reference, Offline Guide, Point-of-Care Reference and AI Clinical Decision Support
The most comprehensive EM quick reference ever created, powered by advanced AI.

The #1 medical app in 80+ countries.
Apple's "What's Hot" and "New and Noteworthy."

WHY palmEM?

AI that actually understands medicine
• Your specific patient scenario. Your exact question. Ask anything in plain language, just like you would ask a colleague, and get tailored clinical guidance in seconds. Not generic overviews or academic deep dives. Real answers for real bedside medicine.

The answers you need when seconds count
• From routine to rare, common to zebras - get evidence-based clinical decision support in seconds. Skip the scrolling. Skip the page flipping. Get straight to the answer you need.

Built by emergency medicine physicians
• Clinician-made, clinician-used, continuously updated and refined for real practice. Zero industry influence. And we never sell your data.

Works the way you work
• Intuitive interface. Dark mode. Minimal taps to answers. Fast, focused, and built for the ED.

Offline when you need it
• Core reference content is accessible offline, so you are covered even without signal.

YOUR COMPLETE EM KNOWLEDGE BASE
• Evidence-based workups and management
• Differentials, red flags, and next steps
• Medication quick reference
• Procedures and step-by-step guidance
• Pediatric emergencies
• Clinical decision rules (HEART, PERC, Wells, Canadian C-Spine, and more)
• High-yield content without the fluff


TRUSTED BY CLINICIANS WORLDWIDE
"I've dumped my $300/year app for palmEM. Cheaper, prettier, faster." —EMtutorials.com
"There is so much in here I don't know where to begin. Could I enthuse about this any more?" —Life in the Fast Lane
"An excellent, rapid point-of-care reference perfectly designed for the time crunch of the emergency department." —iMedicalApps
"The relentless search for an EM app that does it all inevitably leads to palmEM." —Emergency Medicine News


PERFECT FOR
Emergency Medicine • Urgent Care • Critical Care • Internal Medicine • Family Medicine • Primary Care • EMS • Nursing • Paramedics • NPs • PAs • Medical Students • Residents • Fellows • Attendings


TRY RISK-FREE FOR 7 DAYS
Start your no-obligation trial. Experience AI-powered clinical support that helps you move faster and think sharper.

Download now. Your next shift will thank you.

---

DISCLAIMER: This app is intended for medical professionals. It is strictly for educational purposes and is not a substitute for professional medical advice, diagnosis or treatment. Consult with a recognized medical professional before making decisions based on information included in this application.

Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/
Privacy Policy: https://www.palm-er.com/site/privacy-policy/

## Key features

- AI clinical decision support
- Plain language medical queries
- Evidence-based workups and management
- Offline core content access
- Medication quick reference
- Procedure step-by-step guidance
- Clinical decision rules

## Pricing and in-app purchases

Base price: Free.

**Subscriptions**

| Subscription | Price | Period |
| --- | --- | --- |
| Monthly Subscription | $19.99 | per month |
| Monthly Subscription | $9.99 | per month |
| Monthly Subscription | $29.99 | per month |
| Monthly Subscription \| Unlimited AI | $9.99 | per month |
| Annual Subscription \| Unlimited AI | $99.99 | per year |
| Annual Subscription \| Unlimited AI | $99.99 | per year |


## Chart rankings

- #100 in Top Grossing · Medical (US App Store)

## What do users think of palmEM AI?

Overall sentiment: positive

**Pros**

- 🚀 Quick and efficient reference tool for ED scenarios
- 👍 Easy-to-navigate interface with logical organization
- 📚 Comprehensive content covering emergency medicine topics
- 🎯 Concise, clinically-relevant information without unnecessary fluff
- 💊 Useful features like Broselow tape and drug dosages
- 🔍 Multiple search methods (by system, lab values, conditions)
- 💰 Excellent value for the price
- ⭐ Highly useful for residents, students, and experienced clinicians
- 📖 Regularly updated with new content and images
- 🏥 Trusted resource used daily in emergency departments

**Cons**

- ⚠️ Outdated protocols (ACLS, PALS)
- 🐛 Subscription model confusion and access issues
- 📱 Compatibility problems with newer iOS versions
- 🔄 Lack of regular updates over extended periods
- ❌ Note-taking feature removed or non-functional
- 🎨 Outdated user interface design
- 🔐 Migration issues with account verification
- 📊 Information sometimes too condensed or oversimplified
- ⚡ App crashes and loading failures reported
- 🚫 iPad compatibility issues

**Commonly reported bugs**

- App crashes on latest iOS updates
- Subscription verification fails for previous owners
- Access denied despite full subscription status
- App does not load on iPad
- Note section disappeared after update
- Pages unable to open
- Blank content display
- Restore purchases feature not working properly

**Most requested features**

- Add toxidromes section
- Photo support in note-taking function
- Swipe-back gesture for faster navigation
- Procedure images or video links
- Dark mode option
- Restore and improve note-taking functionality
- More detailed procedure guides
- Enhanced search capabilities

## Recent user reviews (10 of 97)

All indexed reviews: https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047/reviews.md

### 1/5 — Subscription?! No thanks

*2026-07-23*

This used to be one of the best apps for emergency medicine. Bought and paid for this app years ago, now they have a subscription fee on top my original payment, which I found out when trying to look up a pressor dose during a resuscitation. Cannot be trusted or counted on any more.

**Developer response:** This review is inaccurate. We have never removed access from anyone who purchased palmEM, and we never will. If you purchased palmEM before our AI-powered clinical reference was introduced, you continue to have full access to everything you originally purchased, no subscription required. In fact, we also include our comprehensive AI clinical reference at no additional cost for original purchasers.

What you're describing happens when the app is signed in with a different email than the Apple ID used to make the original purchase. When they don't match, the app can't recognize your previous purchase and displays the subscription screen instead. The fix takes about a minute: https://palm-er.com/support/docs/palmem/troubleshooting/legacy-user-subscriptions

App Store reviews are anonymous, so we have no way to identify your account or restore your access from a review alone. Please contact us through the app or at support@palm-er.com. We’d appreciate the opportunity to help. We’ll get your access restored right away, and it’s much faster and easier than assuming the worst.

### 3/5 — Note tool/outztas

*2026-02-12, version 26.2.1*

The note tool is not functional. Also a little outdated, has been updated in a bit. Overall helpful

### 5/5 — The best EM App

*2026-02-09*

This has been my go to app for years. Even before they added ai. It has never let me down!

**Developer response:** Thank you, HydroVir, for your positive review of palmEM! We're glad to hear that you find it well-designed and useful in your work in the ED. It's awesome that palmEM has become your most used app and that it's helpful for studying as well. If you have any further feedback or suggestions, please reach out. Happy studying and thank you for using palmEM!

### 1/5 — Unable to open pages

*2025-09-01*

Burn management

**Developer response:** Hi musicmaker,
Sorry to hear you ran into trouble. What you're describing sounds like a local issue rather than a problem with the app itself. Try force-closing the app first, and if that doesn't help, delete and reinstall. If problems continue, email us at support@palm-er.com and we'll get you back on track quickly.

### 5/5 — Great tool!

*2025-05-07*

I’ve only recently started using this great app and it’s already helped me so much. It’s a great reference tool to quickly help in all ED scenarios. I highly recommend for all levels of care!

### 3/5 — Waste of $

*2025-04-11, version 25.2.2*

Even Grok gives better and more accurate answers than this app. Query ACLS protocols and you will see.  Many other things as well like trauma splenic lac etc.

### 5/5 — Fantastic app

*2024-05-20*

I love how easy it is to find information fast.  The developer has truly thought of everything.  You can do a search, reference by system, lab values etc... all around one topic, such as, hemorrhage for example.  It's the equivalent of have many books with you ! But - easy to find the info

### 5/5 — Awesome App

*2023-12-09, version 11.1.7*

Great app. Everything's narrowed down into clinically important info without the fluff.

### 5/5 — Love palmEM!!

*2023-12-01, version 11.1.7*

Anybody that works in the ED needs this app. Use it every shift!

### 5/5 — palmEM is awesome!!!

*2023-10-21*

This app is very well designed and streamlined so you can find what you need really quickly. It has become my most used app in the ED. Good for studying too.

**Developer response:** Thank you, HydroVir, for your positive review of palmEM! We're glad to hear that you find it well-designed and useful in your work in the ED. It's awesome that palmEM has become your most used app and that it's helpful for studying as well. If you have any further feedback or suggestions, please reach out. Happy studying and thank you for using palmEM!

## Frequently asked questions about palmEM AI

### What does palmEM AI do?

palmEM AI is an emergency medicine quick reference and clinical decision support tool. It uses advanced AI to provide tailored, evidence-based guidance for specific patient scenarios, helping medical professionals make faster and sharper decisions at the point of care.

### What are the key features of palmEM AI?

Key features include AI-powered clinical decision support that understands plain language queries, a comprehensive EM knowledge base with workups, management, differentials, and medications, offline access to core content, and step-by-step guidance for procedures.

### How much does palmEM AI cost?

The app offers a 7-day risk-free trial. While the description mentions in-app purchases and ads, the exact pricing structure for full access or premium features is not detailed, but it is presented as a more affordable alternative to other subscription-based apps.

### Who is palmEM AI intended for?

This application is strictly intended for medical professionals, including those in emergency medicine, urgent care, critical care, internal medicine, family medicine, EMS, nursing, and paramedics, as well as medical students, residents, and fellows.

### Can I use palmEM AI offline?

Yes, the core reference content of palmEM AI is accessible offline. This ensures that medical professionals can access essential information even when they do not have an internet signal, which is crucial in emergency settings.

## Version history (last 5 releases)

### 26.3.18 — 2026-03-19

New Features and Improvements:
• Notes bug fix
• Performance optimizations

### 26.2.14 — 2026-02-13

New Features and Improvements:
• AI improvements: faster responses and smoother streaming
• No sign-in required. Jump straight into palmEM
• Performance optimizations

Version 26.2.14:
• Sign up bug fix

### 26.2.1 — 2026-02-09

New Features and Improvements:
• AI improvements: faster responses and smoother streaming
• No sign-in required. Jump straight into palmEM
• Performance optimizations

Create a palmEM account anytime to sync notes across devices and access palmEM on the web.

### 25.11.1 — 2025-11-03

We're fine-tuning palmEM's AI brain! What's new:
• Deeper clinical insights backed by expanded training data
• Refined responses that handle edge cases and clinical nuance
• Performance optimizations

### 25.2.2 — 2025-01-29

palmEM just got a major intelligence boost! This update brings:
- Smarter clinical reasoning powered by extensive real-world validation
- Finely tuned and nuanced responses that reflect clinical complexity
- Turbocharged performance 
Thank you for trusting us to support your lifesaving work—we’re just getting started! 

v25.2.2: Bug fixes

## Apps similar to palmEM AI

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## More apps by palmER Worldwide LLC

- [palmER AI: Ambient Scribe](https://appshunter.io/ios/app/palmer-ai-ambient-scribe/id6770287467)

All apps by palmER Worldwide LLC: https://appshunter.io/developer/481034130

## Related topics

[palmer](https://appshunter.io/ios/topics/palmer) · [bedside em](https://appshunter.io/ios/topics/bedside-em) · [deployed medicine](https://appshunter.io/ios/topics/deployed-medicine) · [quick decision](https://appshunter.io/ios/topics/quick-decision) · [search on shift for em](https://appshunter.io/ios/topics/search-on-shift-for-em)

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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 2026-08-28.*