# Stroke Scales For EMS vs NIHSS+

The clearest difference is review sentiment: NIHSS+ at 100% against Stroke Scales For EMS's 75%. NIHSS+ also leads on update cadence (every 2 weeks vs every 3 months). Stroke Scales For EMS's advantage is rating (4.7 vs 4.4) and iOS requirement (12.0 vs 16.0). On price, ratings volume, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Stroke Scales For EMS holds the better App Store score, 4.7 against 4.4. Both are backed by a comparable volume of ratings — 14 and 8 respectively. Written reviews complicate that: 75% of Stroke Scales For EMS's written reviews are positive against 100% of NIHSS+'s, so the app with the better star average is not the one people write more warmly about.

Stroke Scales For EMS ships an update every 3 months, NIHSS+ every 2 weeks. The most recent releases landed on September 9, 2026 and August 30, 2026 respectively.

## The numbers

| Metric | Stroke Scales For EMS | NIHSS+ |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.7 (14 ratings)](https://appshunter.io/ios/app/stroke-scales-for-ems/id1275108154/reviews)** | [4.4 (8 ratings)](https://appshunter.io/ios/app/nihss-plus/id1669590578/reviews) |
| Number of ratings | **14** | 8 |
| Positive reviews | 75.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 3 months | **Every 2 weeks** |
| Monetization | Free | Free |
| Size | 41 MB | 1.2 GB |
| Requires iOS | **12.0** | 16.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Society of NeuroInterventional Surgery](https://appshunter.io/developer/1012546641) | [Apex Innovations](https://appshunter.io/developer/1669590580) |

## What reviewers say

### Stroke Scales For EMS

[App page](https://appshunter.io/ios/app/stroke-scales-for-ems/id1275108154)

This app assists emergency medical services and healthcare providers in quickly assessing stroke severity and identifying emergent large vessel occlusions. It provides access to several validated stroke scales for rapid evaluation in critical situations.

**Highlights:** LAMS stroke scale, RACE stroke scale, CPSSS stroke scale, FAST-ED stroke scale, VAN stroke scale, Stroke severity identification, ELVO assessment

**Features:** macOS Compatibility

**In-app purchases:** none


### NIHSS+

[App page](https://appshunter.io/ios/app/nihss-plus/id1669590578)

This app provides a digital learning format for evaluating stroke symptoms based on the established NIHSS scale. It offers guidance for accurate stroke assessment, tips, and support for telestroke situations, intended for educational purposes.

**Highlights:** Stroke symptom evaluation, Digital learning format, Accurate stroke assessment guidance, Tips and tricks for assessment, Telestroke situation support, Educational training

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Stroke Scales For EMS free?

Stroke Scales For EMS is free to download, with no in-app purchases.

### Is NIHSS+ free?

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

### Which has better reviews, Stroke Scales For EMS or NIHSS+?

Stroke Scales For EMS is rated higher. Stroke Scales For EMS averages 4.7 out of 5 from 14 ratings, while NIHSS+ averages 4.4 from 8 ratings.

### Do Stroke Scales For EMS or NIHSS+ have ads?

Neither Stroke Scales For EMS nor NIHSS+ shows ads.

### Which is updated more often, Stroke Scales For EMS or NIHSS+?

Stroke Scales For EMS ships an update every 3 months, and NIHSS+ every 2 weeks. Most recently, Stroke Scales For EMS was updated on September 9, 2026 and NIHSS+ on August 30, 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.*