Comparison

MobilEM vs gistalt

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

Head to head
About

MobilEM

Provides fast, evidence-based clinical guidance for emergency medicine professionals. Access updated recommendations on a wide range of topics, including antibiotics, toxicology, and critical care. Offers free content, individual purchases, and an all-access subscription.

Highlights
  • Evidence-based recommendations
  • Antibiotic and toxicology guidance
  • EKG and orthopedic injury protocols
  • Airway and pediatric emergency management
  • Critical care medication information
  • Fast navigation and universal search
  • Bookmarking and note-taking
Features
Currently charting
Read full description

One of our greatest privileges at EMRA is offering resources that can help make every clinical shift easier, through evidence-based guidance in your pocket. Get updated recommendations for antibiotics, toxicology, EKGs, orthopedic injuries, airway management, pediatric emergencies, splinting, critical care medications, and more. Enjoy free content, purchase our resources a la carte, or subscribe to our all-access pass (best value!) to take full advantage of these key features: • Fast, easy navigation • Powerful universal search • Bookmarking • Note-taking fields • Continual updates that require no action on your part We hope you find MobilEM to be useful; check back often, as we will be adding new content on a regular basis. Please note: EMRA is committed to your privacy. See our policy at https://www.emra.org/about-emra/privacy-policy/. Terms of Use: This and all other digital reference content, including all content offered under subscription is intended for a single user on devices belonging to that user. Use of this app running on a common device shared by an organization is disallowed. For further information on terms of use and EULA please see: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ This app is intended for the US healthcare market.

About

gistalt

This medical game challenges players to quickly assess patient acuity by swiping left for stable patients and right for those needing immediate intervention. It's designed to make training clinical impression skills engaging and fun.

Highlights
  • Patient acuity assessment
  • Swipe-based gameplay
  • Vital signs and lab results
  • Imaging interpretation
  • Performance scoring
  • Regular content updates
Features
Read full description

Your clinical impression (or "gestalt") about a patient's acuity is both critical and difficult to train. gistalt was designed to make it fun! Your goal playing gistalt is to accurately identify which patients are sick (requiring hospitalization or immediate interventions for stabilization) or not-sick (conditions that can be safely treated with outpatient follow-up). gistalt games are simple and fun. You'll start with a stack of patient presentations including vital signs, laboratory results and imaging. Swipe each card left (for not-sick) or right (for-sick) to see the next question. At the end of the stack, review your responses and see your score. Your gistalt score specially gauges your ability to detect the most critically-ill patients and institute the treatments that will make a difference. New questions are added regularly and don't require an app update.

Screenshots

MobilEM4 screens
gistalt4 screens

Verdict

The call

The clearest difference is review sentiment: gistalt at 100% against MobilEM's 45%. gistalt also leads on rating (4.9 vs 3.6) and in-app purchases (none vs 12). MobilEM's advantage is update cadence (every 2 months vs every 22 months) and chart position (#88 vs unranked). On price, ratings volume, 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. MobilEM sells 12 in-app purchases, starting at $1.99 per year. gistalt asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

gistalt holds the better App Store score, 4.9 against 3.6. Both are backed by a comparable volume of ratings — 39 and 16 respectively. Written reviews point the same way: 45% of MobilEM's written reviews are positive against 100% of gistalt's.

UpkeepUpdate frequency

MobilEM ships an update every 2 months, gistalt every 22 months. The most recent releases landed on October 16, 2026 and September 15, 2026 respectively.

Scorecard7 real differences · 4 level
MobilEM versus gistalt: the parameters behind the verdict, then further details
ParameterMobilEMgistalt
PriceFreeFree
Rating3.6 (39 ratings)4.9 (16 ratings) — better
Positive reviews45.0% of reviews100.0% of reviews — better
Number of ratings39 — better16
Update frequencyEvery 2 months — betterEvery 22 months
AdsNoNo
In-app purchasesYesNo — better
MonetizationFree with in-app purchasesFree — better
Best chart rank#88 — better—
DevicesiPhone, iPad, iPod — betteriPhone, iPod
Requires iOS15.013.4 — better
Further details — not scored
Size205 MB35 MB
Age rating17+17+
DeveloperEmergency Medicine Residents' AssociationTom Fadial

Customer experience

MobilEM

All ratings39 ratings
Positive61.5%
Neutral10.3%
Negative28.2%
Written reviews20 reviews
Positive45.0%
Neutral15.0%
Negative40.0%

gistalt

All ratings16 ratings
Positive93.8%
Neutral6.3%
Negative0.0%
Written reviews6 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

12 purchases

MobilEM

Subscriptions12
  • Ventilator Mgmt. Subscription$1.991 Year
  • Pediatric Qwic$1.991 Year
  • MobilEm Airway Management$4.991 Year
Show 9 more
  • Trauma Guide$4.991 Year
  • Antibiotic Guide Subscription$9.991 Year
  • MobilEm Ortho Guide$9.991 Year
  • MobilEM Tox Guide$9.991 Year
  • PressorDex$9.991 Year
  • EKG Guide Subscription$9.991 Year
  • Pain Management$9.991 Year
  • PEM Fundamentals Subscription$9.991 Year
  • MobilEm All Access Pass1 Month trial$39.991 Year
None

gistalt

No in-app purchases

Questions

Is MobilEM free?
MobilEM is free to download, with in-app purchases available.
Is gistalt free?
gistalt is free to download, with no in-app purchases.
Which has better reviews, MobilEM or gistalt?
gistalt is rated higher. MobilEM averages 3.6 out of 5 from 39 ratings, while gistalt averages 4.9 from 16 ratings.
Do MobilEM or gistalt have ads?
Neither MobilEM nor gistalt shows ads.
Which is updated more often, MobilEM or gistalt?
MobilEM ships an update every 2 months, and gistalt every 22 months. Most recently, MobilEM was updated on October 16, 2026 and gistalt on September 15, 2026.

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