# PA EMS Protocols vs ER NAV

The clearest difference is price: ER NAV at Free against PA EMS Protocols's $4.99. ER NAV also leads on review sentiment (86% vs 50%). PA EMS Protocols's advantage is in-app purchases (none vs 1) and chart position (#36 vs unranked). On rating, ratings volume, update cadence and ads there is nothing between them.

ER NAV is free to download; PA EMS Protocols costs $4.99 up front. ER NAV sells 1 in-app purchase, starting at $2.99 per month. PA EMS Protocols asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.7 for PA EMS Protocols against 4.7 for ER NAV. Both are backed by a comparable volume of ratings — 7 and 14 respectively. Written reviews are what separate them: 50% of PA EMS Protocols's written reviews are positive against 86% of ER NAV's.

PA EMS Protocols ships an update every 4 months, ER NAV every 3 months. Both last shipped on September 20, 2026.

## The numbers

| Metric | PA EMS Protocols | ER NAV |
| --- | --- | --- |
| Price | $4.99 | **Free** |
| Rating | **[4.7 (7 ratings)](https://appshunter.io/ios/app/pa-ems-protocols/id1031755528/reviews)** | [4.7 (14 ratings)](https://appshunter.io/ios/app/er-nav/id6751308029/reviews) |
| Number of ratings | 7 | **14** |
| Positive reviews | 50.0% of reviews | **85.7% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 3 months** |
| Monetization | Paid | **Freemium** |
| Best chart rank | **#36** | — |
| Size | 41 MB | 32 MB |
| Requires iOS | **14.0** | 17.5 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [iHarig LLC](https://appshunter.io/developer/1031755527) | [DirectTo Solutions LLC](https://appshunter.io/developer/1834555580) |

## What reviewers say

### PA EMS Protocols

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

**Currently charting:** #36 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


### ER NAV

[App page](https://appshunter.io/ios/app/er-nav/id6751308029)

This app provides EMS professionals with direct navigation to ambulance bays and critical hospital information. It offers features like specialty filtering, user-submitted bay images, and integrated medical references. Users can also access protocols, drug information, and a unique O2 tank calculator.

**Highlights:** Direct ambulance bay navigation, Hospital specialty designations, User-submitted bay images, Integrated medical references, NJ EMS protocol access, O2 tank duration calculator, Real-time traffic flow

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| All Access | $2.99 | per month |


## Frequently asked questions

### Is PA EMS Protocols free?

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

### Is ER NAV free?

ER NAV is free to download, with in-app purchases available.

### Which has better reviews, PA EMS Protocols or ER NAV?

PA EMS Protocols is rated higher. PA EMS Protocols averages 4.7 out of 5 from 7 ratings, while ER NAV averages 4.7 from 14 ratings.

### Do PA EMS Protocols or ER NAV have ads?

Neither PA EMS Protocols nor ER NAV shows ads.

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

PA EMS Protocols ships an update every 4 months, and ER NAV every 3 months. Most recently, PA EMS Protocols was updated on September 20, 2026 and ER NAV on September 20, 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.*