# PA EMS Protocols vs Lieky

The clearest difference is price: PA EMS Protocols at $4.99 against Lieky's $44.99. PA EMS Protocols also leads on chart position (#178 vs unranked). Lieky's advantage is iOS requirement (9.3 vs 14.0). On update cadence, ads, in-app purchases and device support there is nothing between them.

PA EMS Protocols costs $4.99 and Lieky $44.99 up front. Neither carries in-app purchases, so what you see is what you pay.

PA EMS Protocols ships an update every 4 months, Lieky every 5 months. The most recent releases landed on October 29, 2026 and October 27, 2026 respectively.

## The numbers

| Metric | PA EMS Protocols | Lieky |
| --- | --- | --- |
| Price | **$4.99** | $44.99 |
| Rating | **[4.7 (7 ratings)](https://appshunter.io/ios/app/pa-ems-protocols/id1031755528/reviews)** | — |
| Number of ratings | **7** | — |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 4 months** | Every 5 months |
| Monetization | Paid | — |
| Best chart rank | **#178** | — |
| Size | 41 MB | 2.9 GB |
| Requires iOS | 14.0 | **9.3** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Nathan Harig](https://appshunter.io/developer/1031755527) | [MacMedia](https://appshunter.io/developer/322441361) |

## What reviewers say

### PA EMS Protocols

[App page](https://appshunter.io/ios/app/pa-ems-protocols/id1031755528)

**Currently charting:** #178 Top Paid · Medical (US App Store)

This app provides emergency medical responders in Pennsylvania with the latest protocols and hospital data. It offers fast updates, search functionality, and access to state and regional information, including EMS bulletins and scope of practice.

**Highlights:** Latest protocols and hospital data, Fast content updates, Search functionality, Dark mode for night shifts, Access to PA Medic, State and regional information

**Features:** macOS Compatibility

**In-app purchases:** none


### Lieky

[App page](https://appshunter.io/ios/app/lieky/id1145747760)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is PA EMS Protocols free?

PA EMS Protocols costs $4.99, with no in-app purchases.

### Is Lieky free?

Lieky costs $44.99, with no in-app purchases.

### Do PA EMS Protocols or Lieky have ads?

Neither PA EMS Protocols nor Lieky shows ads.

### Which is updated more often, PA EMS Protocols or Lieky?

PA EMS Protocols ships an update every 4 months, and Lieky every 5 months. Most recently, PA EMS Protocols was updated on October 29, 2026 and Lieky on October 27, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*