Comparison

NREMT vs ACLSMED Sim

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

NREMT

Manage your EMT certification and account securely from your mobile device. Track recertification, update your profile, add courses, and access agency information. Purchase official merchandise directly within the app.

Highlights
  • Secure sign-in with biometrics
  • Verify provider status
  • Manage profile and affiliations
  • Add and track courses
  • Submit recertification applications
  • Access agency rosters
  • Purchase official merchandise
Features
Read full description

Features available to all users • Sign in securely with Touch ID or Face ID • Verify National Registry status for any provider by name or registry number. • Contact the Registry using the Contact Us feature • The National Registry store is available via the app for the first time. Now you can purchase patches, decals, challenge coins and more from inside the app. As a provider, easily maintain your National Registry certification and account from anywhere • Manage your profile, including address, phone number and email updates • Check your Initial Application status as a candidate • View, add and remove your agency affiliations • Add courses, add attachments for courses and view your transcript • Manage your education for recertification, submit your recertification application and check on the status of your recertification application. Add courses on the go • Easily add courses to your Professional Transcript as you complete them. • Never misplace paper certificates: the National Registry Mobile app offers the ability to take a picture or upload a file of any supporting documentation to attach to a course you completed. Track your recertification cycle and submit your recertification application • Easily check your expiration date and recertification application status with just a couple taps on your mobile device. • Manage your education for recertification, fill out, pay for and submit your recertification application all securely from your mobile device. As a Training Officer, access your agency information and keep up to date with your providers • View your agency’s roster and which providers are due to recertify for the upcoming season • Sign off on provider’s skills and education • Approve affiliation requests for your agency • Review Medical Director actions taken against providers in your agency • Approve Inactive to Active requests • Add courses for your agency and assign attendees to the courses As a Medical Director, access your agency information and keep up to date with your providers • View your agency’s roster and which providers are due to recertify for the upcoming season • Sign off on provider’s skills • Approve Inactive to Active requests Disclosure Some features are available for certain accounts only. There is no charge for the National Registry app, but message and data rates may apply. Such charges include those from your communications service provider. For any concerns or issues with the mobile application, please visit https://www.nremt.org/rwd/mobile.

About

ACLSMED Sim

Features
Read full description

ACLSMED Simulator turns an iPad into a high-fidelity clinical training rig: patient monitor + defibrillator + pacer, driven by an instructor remote on a second iPad or your iPhone, plus a ventilator, an IV pump and a six-station CPR skills trainer. Built for nursing schools, paramedic programs, residency simulation labs, and ACLS courses. Aligned with AHA 2025 guidelines. WHAT'S IN THE APP • MONITOR ROLE — Full patient monitor with up to six clinical channels: HR/ECG, ART/NIBP, PA, CVP, SpO₂, and EtCO₂. Real-time waveform engine, alarm flash, integrated defibrillator (charge → shock → reset), and transcutaneous pacer. Tap the ECG for any of 12 leads. Real keys, nine device styles. • INSTRUCTOR ROLE — Educator-facing control panel. Drive vitals, switch among 47 rhythm presets (sinus, atrial, SVT, junctional, ventricular, AV blocks, paced, arrest), run 33 megacode scenarios, trigger alarms, toggle CPR artifact, and step through 12-lead ECG presentations. Runs on iPad, or on iPhone and iPhone Duo as a one-handed remote. • IVMED ROLE — Infusion pump trainer with a 61-drug library, weight-based dosing, and soft/hard limit alerts. • RESPMED ROLE — Ventilator trainer, rebuilt in 2.6.1: every mode from AC/VC to APRV draws real lung-model waveforms, with trigger dips, auto-PEEP, holds, lung pathologies, and ABG. Change it from the Remote. • CPR SIMULATOR ROLE — A multi-station CPR skills trainer on one iPad. Up to six students place an iPhone running the free ACLSMED CPR app on a training manikin's sternum, hands on top: a two-minute timed test with a live quality bar per student, ring-gauge results for rate, depth zone, and hands-on time, a class leaderboard — and every student's grade delivered to their own phone. Phones join with a class code (QR or 6 digits). WORKS WITH ACLSMED CPR (FREE) ACLSMED CPR is our free iPhone companion for manikin practice: the phone lies under the student's hands and measures rate, depth zones, and hands-on time, with a 110/min metronome. Alone it scores solo practice; paired, it powers the CPR Simulator test and the monitor's compression artefact. Student phones never need a seat. • PAIRING — Private classrooms: only devices signed in to your account join, over local Wi-Fi with Bluetooth fallback; every message is signed. • AUDIO — Synthesized HR beep tracking SpO₂, ICU alarms, defib tones, CPR metronome, and voice prompts. • OFFLINE — Once paired, the simulation runs entirely on-device. WHO IT'S FOR Nurses, paramedics, EMTs, medical students, residents, and ACLS instructors who need a portable, repeatable, clinically credible megacode environment. SUBSCRIPTION REQUIRED ACLSMED Simulator requires a plan, purchased in the app. Two tiers, each as an auto-renewing monthly or annual subscription or a one-time lifetime license: • ACLSMED Pro Patient Monitor + Instructor Remote + CPR Simulator (one Monitor and one Remote, iPad or iPhone) • ACLSMED Suite adds IVmed pump + RESPmed ventilator (up to four devices) Payment is charged to your Apple ID. Subscriptions auto-renew unless cancelled at least 24 hours before the period ends; manage or cancel in Settings → Apple ID → Subscriptions. One account activates every device in your bundle. Privacy Policy: https://www.aclsmed.com/privacy.html Terms of Use (EULA): https://www.aclsmed.com/terms.html REQUIREMENTS • iPad (9th generation / A13 or newer), iPadOS 17 or later • iPhone or iPad for the instructor remote, iOS 17 or later • Local Wi-Fi or Bluetooth between devices • An active ACLSMED plan (purchased in-app) • CPR Simulator: free ACLSMED CPR app on student iPhones (iOS 17+) IMPORTANT Educational only not diagnostic. ACLSMED Simulator is a teaching tool for clinical education and exam preparation. CPR features are for practice on training manikins only. It is not a medical device, is not for use on patients, and must never be used to make diagnostic or treatment decisions. SUPPORT Email: support@aclsmed.com Web: https://www.aclsmed.com

Screenshots

NREMT4 screens
ACLSMED Sim4 screens

Verdict

The call

The clearest difference is in-app purchases: NREMT at none against ACLSMED Sim's 6. NREMT also leads on iOS requirement (15.0 vs 17.0). ACLSMED Sim's advantage is update cadence (every 9 days vs every 2 months). On price, ads and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. ACLSMED Sim sells 6 in-app purchases, starting at $19.99 per month. NREMT asks for nothing beyond the download.

UpkeepUpdate frequency

NREMT ships an update every 2 months, ACLSMED Sim every 9 days. The most recent releases landed on November 2, 2026 and October 31, 2026 respectively.

Scorecard3 real differences · 7 level
NREMT versus ACLSMED Sim: the parameters behind the verdict, then further details
ParameterNREMTACLSMED Sim
PriceFreeFree
Rating4.7 (8K ratings) — better—
Positive reviews36.7% of reviews—
Number of ratings8K — better—
Update frequencyEvery 2 monthsEvery 9 days — better
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree—
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS15.0 — better17.0
Further details — not scored
Size15 MB69 MB
Age rating12++12
DeveloperNational Registry of Emergency Medical TechniciansMark Daniel Figueroa

Bugs and requests

NREMT

Reported bugs

4 issues
  • Unable to add payment information
  • Fails to generate registry cards for Apple Wallet
  • App won't open or load past the logo
  • Errors when trying to save changes or upload documents

Requested features

4 requests
  • Dark mode option
  • Auto-populate continuing education hours
  • Ability to input entire refresher courses instead of individual classes
  • Improved communication and support

ACLSMED Sim

Not enough reviews yet to summarise bugs or requests.

In-app purchases

None

NREMT

No in-app purchases

6 purchases

ACLSMED Sim

Subscriptions4
  • ACLSMED Pro — Monthly$19.991 Month
  • ACLSMED Suite — Monthly$29.991 Month
  • ACLSMED Pro — Annual$99.991 Year
Show 1 more
  • ACLSMED Suite — Annual$179.991 Year
One-time2
  • ACLSMED Pro — Lifetime$399.99
  • ACLSMED Suite — Lifetime$799.99

Questions

Is NREMT free?
NREMT is free to download, with no in-app purchases.
Is ACLSMED Sim free?
ACLSMED Sim is free to download, with in-app purchases available.
Do NREMT or ACLSMED Sim have ads?
Neither NREMT nor ACLSMED Sim shows ads.
Which is updated more often, NREMT or ACLSMED Sim?
NREMT ships an update every 2 months, and ACLSMED Sim every 9 days. Most recently, NREMT was updated on November 2, 2026 and ACLSMED Sim on October 31, 2026.

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