# ParaPass vs ISTUMBLE

The clearest difference is review sentiment: ParaPass at 82% against ISTUMBLE's 0%. ParaPass also leads on update cadence (monthly vs every 10 months). ISTUMBLE's advantage is in-app purchases (none vs 2). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. ParaPass sells 2 in-app purchases, starting at $4.49 per month. ISTUMBLE asks for nothing beyond the download.

ParaPass ships an update monthly, ISTUMBLE every 10 months. The most recent releases landed on September 13, 2026 and September 22, 2026 respectively.

## The numbers

| Metric | ParaPass | ISTUMBLE |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | **81.8% of reviews** | 0.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Monthly** | Every 10 months |
| Monetization | Subscription | **Free** |
| Size | 53 MB | 38 MB |
| Requires iOS | 16.0 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 12+ |
| Developer | [Class Publishing Ltd](https://appshunter.io/developer/884962940) | [MANGAR INTERNATIONAL LIMITED](https://appshunter.io/developer/1449708947) |

## What reviewers say

### ParaPass

[App page](https://appshunter.io/ios/app/parapass/id1220803129)

This app offers on-the-go learning resources and quizzes for paramedics to support their Continuing Professional Development (CPD). It features evidence-based discussions, case scenarios, and self-assessment questions, with offline access available. CPD certificates are provided to track learning.

**Highlights:** CPD resources for paramedics, Multiple choice quizzes, Case scenarios, Self-assessment questions, CPD certificates, Offline access

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Month subscription - CPD | $4.49 | per month |
| 12 Month subscription - JRCLAC | $42.99 | per year |


### ISTUMBLE

[App page](https://appshunter.io/ios/app/istumble/id1449708948)

This medical assessment tool helps care providers determine the best course of action after a fall. It guides decisions on whether to lift a fallen person or call for an ambulance, aiming to reduce the time a person remains on the floor. The app is accredited for NHS use and works with lifting cushions for safe patient handling.

**Highlights:** Fall assessment algorithm, Decision support for lifting or ambulance, NHS accredited tool, Works with Mangar Lifting Cushions, Reduces time on floor, Safe and dignified lifting

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

**In-app purchases:** none


## Frequently asked questions

### Is ParaPass free?

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

### Is ISTUMBLE free?

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

### Do ParaPass or ISTUMBLE have ads?

Neither ParaPass nor ISTUMBLE shows ads.

### Which is updated more often, ParaPass or ISTUMBLE?

ParaPass ships an update monthly, and ISTUMBLE every 10 months. Most recently, ParaPass was updated on September 13, 2026 and ISTUMBLE 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.*