# EMS Notes vs EMS Ops

The clearest difference is in-app purchases: EMS Ops at none against EMS Notes's 2. EMS Ops also leads on ads (none vs shown) and update cadence (every 2 months vs every 5 months). EMS Notes's advantage is iOS requirement (13.0 vs 15.1). 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. EMS Ops asks for nothing beyond the download.

EMS Notes ships an update every 5 months, EMS Ops every 2 months. The most recent releases landed on October 24, 2026 and October 16, 2026 respectively.

## The numbers

| Metric | EMS Notes | EMS Ops |
| --- | --- | --- |
| 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 | **Every 2 months** |
| Monetization | Free with in-app purchases | — |
| Size | 47 MB | 40 MB |
| Requires iOS | **13.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) | [Focus Forward Technology, LLC](https://appshunter.io/developer/1766422356) |

## 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 |


### EMS Ops

[App page](https://appshunter.io/ios/app/ems-ops/id6670501624)

**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 EMS Ops free?

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

### Do EMS Notes or EMS Ops have ads?

EMS Notes shows ads; EMS Ops does not.

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

EMS Notes ships an update every 5 months, and EMS Ops every 2 months. Most recently, EMS Notes was updated on October 24, 2026 and EMS Ops on October 16, 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.*