# EMS Notes vs NarrativeGenerator

The clearest difference is in-app purchases: NarrativeGenerator at none against EMS Notes's 2. NarrativeGenerator also leads on ads (none vs shown) and update cadence (daily vs every 5 months). EMS Notes's advantage is iOS requirement (13.0 vs 17.0). On price and device support there is nothing between them.

Both are free to download. EMS Notes sells 2 in-app purchases, starting at $29.99 per year. NarrativeGenerator asks for nothing beyond the download.

EMS Notes ships an update every 5 months, NarrativeGenerator daily. The most recent releases landed on October 24, 2026 and September 22, 2026 respectively.

## The numbers

| Metric | EMS Notes | NarrativeGenerator |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.7 (47 ratings)](https://appshunter.io/ios/app/ems-notes-emt-and-paramedic/id1146393027/reviews)** | — |
| Number of ratings | **47** | — |
| Positive reviews | 75.0% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | Yes | **No** |
| Update frequency | Every 5 months | **Daily** |
| Monetization | Free with in-app purchases | — |
| Size | 47 MB | 1 MB |
| Requires iOS | **13.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) | [Weston Fagans](https://appshunter.io/developer/1692468242) |

## What reviewers say

### EMS Notes

[App page](https://appshunter.io/ios/app/ems-notes-emt-and-paramedic/id1146393027)

This app provides essential clinical information for EMTs and paramedics in the field. It covers emergency drugs, ECG interpretation, algorithms, and procedures, with offline access and smart search functionality. Spanish translations are also included.

**Highlights:** Covers 100+ emergency drugs, Includes 2,000+ common prescription drugs, Provides CPR, ACLS, PALS, NRP algorithms, Features Spanish translations and phonetic pronunciations, Offline access to content, SmartSearch technology for quick information retrieval

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| EMS Notes: EMT & Paramedic | $29.99 | per year |
| EMS Notes: EMT & Paramedic | $29.99 | one-time |


### NarrativeGenerator

[App page](https://appshunter.io/ios/app/narrativegenerator/id6450245591)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is EMS Notes free?

EMS Notes is free to download, with in-app purchases available.

### Is NarrativeGenerator free?

NarrativeGenerator is free to download, with no in-app purchases.

### Do EMS Notes or NarrativeGenerator have ads?

EMS Notes shows ads; NarrativeGenerator does not.

### Which is updated more often, EMS Notes or NarrativeGenerator?

EMS Notes ships an update every 5 months, and NarrativeGenerator daily. Most recently, EMS Notes was updated on October 24, 2026 and NarrativeGenerator on September 22, 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.*