# PICU Essentials vs NPS Flash Cards

The clearest difference is review sentiment: PICU Essentials at 56% against NPS Flash Cards's 0%. PICU Essentials also leads on price (Free vs $54.99). NPS Flash Cards's advantage is in-app purchases (none vs 1) and update cadence (every 6 weeks vs every 6 months). On ads and device support there is nothing between them.

PICU Essentials is free to download; NPS Flash Cards costs $54.99 up front. PICU Essentials sells 1 in-app purchase, starting at $9.99 per year. NPS Flash Cards asks for nothing beyond the download.

PICU Essentials ships an update every 6 months, NPS Flash Cards every 6 weeks. The most recent releases landed on September 21, 2026 and September 11, 2026 respectively.

## The numbers

| Metric | PICU Essentials | NPS Flash Cards |
| --- | --- | --- |
| Price | **Free** | $54.99 |
| Rating | **[4.8 (124 ratings)](https://appshunter.io/ios/app/picu-essentials/id1207366521/reviews)** | — |
| Number of ratings | **124** | — |
| Positive reviews | **55.6% of reviews** | 0.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 6 weeks** |
| Monetization | **Free with in-app purchases** | Paid |
| Size | 130 MB | 13 MB |
| Requires iOS | 15.6 | **11.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Atmosphere Apps, Inc.](https://appshunter.io/developer/334077424) | [RTS Publishing Co Inc](https://appshunter.io/developer/604916069) |

## What reviewers say

### PICU Essentials

[App page](https://appshunter.io/ios/app/picu-essentials/id1207366521)

A practical handbook for medical professionals in pediatric intensive care units, drawing on 20 years of experience. Content is peer-reviewed and updated regularly, applicable across various settings. Proceeds support app maintenance and development.

**Highlights:** Practical handbook for PICU professionals, Based on 20 years of PICU practice, Peer-reviewed content, Regular content updates, Applicable in most settings, Supports app development

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Annual Subscription | $9.99 | per year |


### NPS Flash Cards

[App page](https://appshunter.io/ios/app/nps-flash-cards/id6445869608)

Digital flashcards designed for medical professionals to study calculations and normal values. Features allow users to flag incorrect answers for focused review, aiding in efficient learning and recall for examinations.

**Highlights:** Digital flashcards, Calculations and normal values, Flag incorrect answers, Focused review, Study alone or in groups, Portable study tool

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

**In-app purchases:** none


## Frequently asked questions

### Is PICU Essentials free?

PICU Essentials is free to download, with in-app purchases available.

### Is NPS Flash Cards free?

NPS Flash Cards costs $54.99, with no in-app purchases.

### Do PICU Essentials or NPS Flash Cards have ads?

Neither PICU Essentials nor NPS Flash Cards shows ads.

### Which is updated more often, PICU Essentials or NPS Flash Cards?

PICU Essentials ships an update every 6 months, and NPS Flash Cards every 6 weeks. Most recently, PICU Essentials was updated on September 21, 2026 and NPS Flash Cards on September 11, 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.*