SAM4 Online vs FirstInSim
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
SAM4 Online
This interactive platform offers extensive simulated sound libraries and lesson guides for over 60 medical conditions. It provides students with easy access to class materials, quizzes, tests, and a virtual manikin for auscultation training.
- Simulated sounds library
- Lesson guides for 60+ conditions
- Virtual manikin simulator
- Access to class materials
- Quizzes and tests
- Control physical manikin
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SAM4 Online is an interactive auscultation training platform that gives users access to an extensive simulated sounds library and lesson guides for over 60 conditions The SAM4 Online app gives students easy access to the SAM4 Online platform from their own device. It includes access to class materials including readings, quizzes, case studies, tests and assignments, as well as an easy to use virtual manikin and auscultation simulator. The SAM4 Online App can also be used to control the SAM4 Auscultation Manikin by Cardionics.
FirstInSim
Create realistic fire training simulations using photos of your location. Add elements like smoke, fire, vehicles, and victims to practice scene reports and initial tactics. Save and present your custom scenarios.
- Photo-based scenario creation
- Customizable smoke and fire effects
- Add vehicles and victims
- Save and present simulations
- Practice scene reports
- Develop initial tactics
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Turn location photos into realistic training scenarios. Add customizable smoke, fire, vehicles, and victims, then save, present, and run your simulation. A great tool for practicing on scene reports and initial tactics. Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://fdstreetdrillapp.com/firstinsim-app-page
Screenshots
Verdict
The clearest difference is update cadence: FirstInSim at every 6 days against SAM4 Online's every 6 months. SAM4 Online's advantage is iOS requirement (12.2 vs 26.0). On price, rating, ratings volume and ads 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
Both are free to download. SAM4 Online sells 1 one-off in-app purchase and FirstInSim sells 1 in-app purchase, starting at $5.99 per year. Whichever you choose, the download price is not the number that matters.
On the App Store both sit at effectively the same score — 5.0 for SAM4 Online against 5.0 for FirstInSim. Both are backed by a comparable volume of ratings — 1 and 1 respectively.
SAM4 Online ships an update every 6 months, FirstInSim every 6 days. The most recent releases landed on October 14, 2026 and October 1, 2026 respectively.
| Parameter | SAM4 Online | FirstInSim |
|---|---|---|
| Price | Free | Free |
| Rating | 5.0 (1 ratings) | 5.0 (1 ratings) |
| Positive reviews | — | 100.0% of reviews |
| Number of ratings | 1 | 1 |
| Update frequency | Every 6 months | Every 6 days — better |
| Ads | No | No |
| In-app purchases | Yes | Yes |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 12.2 — better | 26.0 |
| Further details — not scored | ||
| Size | 90 MB | 23 MB |
| Age rating | 12+ | 4+ |
| Developer | 3B Scientific | LifeLine EMS Training and Consulting LLC |
Customer experience
SAM4 Online
FirstInSim
In-app purchases
SAM4 Online
- Personal User - Full Content$19.99
FirstInSim
- FirstInSim Annual$5.991 Year
