# Paramedic PASS vs Region X EMS Protocols

The clearest difference is price: Region X EMS Protocols at Free against Paramedic PASS's $37.99. Region X EMS Protocols also leads on iOS requirement (15.0 vs 17.6). Paramedic PASS's advantage is rating (3.1 vs 2.6) and chart position (#39 vs unranked). On ratings volume, update cadence, ads and in-app purchases there is nothing between them.

Region X EMS Protocols is free to download; Paramedic PASS costs $37.99 up front. Neither carries in-app purchases, so what you see is what you pay.

Paramedic PASS holds the better App Store score, 3.1 against 2.6. Both are backed by a comparable volume of ratings — 11 and 7 respectively.

Paramedic PASS ships an update every 6 months, Region X EMS Protocols every 5 months. Both last shipped on November 3, 2026.

## The numbers

| Metric | Paramedic PASS | Region X EMS Protocols |
| --- | --- | --- |
| Price | $37.99 | **Free** |
| Rating | **[3.1 (11 ratings)](https://appshunter.io/ios/app/paramedic-pass/id1496171381/reviews)** | [2.6 (7 ratings)](https://appshunter.io/ios/app/region-x-ems-protocols/id6450221966/reviews) |
| Number of ratings | **11** | 7 |
| Positive reviews | 33.3% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 5 months** |
| Monetization | Paid | **Free** |
| Best chart rank | **#39** | — |
| Size | 50 MB | 52 MB |
| Requires iOS | 17.6 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Limmer Creative](https://appshunter.io/developer/387423724) | [Acid Remap LLC](https://appshunter.io/developer/323130617) |

## What reviewers say

### Paramedic PASS

[App page](https://appshunter.io/ios/app/paramedic-pass/id1496171381)

**Currently charting:** #39 Top Paid · Medical, #177 Top Grossing · Medical (US App Store)

Prepare for your NREMT certification exam with this comprehensive app. It features over 550 review questions, detailed rationales, and two full-length simulated exams to help you master critical paramedic knowledge and clinical judgment scenarios.

**Highlights:** Over 550 review questions, Detailed rationales for each question, 10 key topic areas covered, Two full-length simulated exams, NREMT clinical judgment scenarios, TEI questions

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

**In-app purchases:** none


### Region X EMS Protocols

[App page](https://appshunter.io/ios/app/region-x-ems-protocols/id6450221966)

Access Region X (IL) protocols and supporting materials offline. Features quick indexed lookup, search functionality, and a favorites tab for essential content. Allows for customizable notes and is always available on your device.

**Highlights:** Offline protocol access, Quick indexed lookup, Search titles and text, Favorites tab, Customizable notes, Regular updates

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Paramedic PASS free?

Paramedic PASS costs $37.99, with no in-app purchases.

### Is Region X EMS Protocols free?

Region X EMS Protocols is free to download, with no in-app purchases.

### Which has better reviews, Paramedic PASS or Region X EMS Protocols?

Paramedic PASS is rated higher. Paramedic PASS averages 3.1 out of 5 from 11 ratings, while Region X EMS Protocols averages 2.6 from 7 ratings.

### Do Paramedic PASS or Region X EMS Protocols have ads?

Neither Paramedic PASS nor Region X EMS Protocols shows ads.

### Which is updated more often, Paramedic PASS or Region X EMS Protocols?

Paramedic PASS ships an update every 6 months, and Region X EMS Protocols every 5 months. Most recently, Paramedic PASS was updated on November 3, 2026 and Region X EMS Protocols on November 3, 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.*