Comparison

LA County Paramedic vs Karnes County EMS

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

Head to head
About

LA County Paramedic

This app provides LA County paramedics and EMTs with instant access to protocols, clinical calculators, hospital destinations, and AI-powered assistance. It offers offline access to the EMS policy manual, a hospital finder, and essential contacts, all designed for field use.

Highlights
  • Offline protocol access
  • AI-powered clinical assistant
  • Hospital finder with directions
  • 19 clinical calculators
  • Evidence-based destination tools
  • Essential contacts
  • Automatic document sync
Features
Currently charting
Read full description

A reference app for LA County paramedics and EMTs. Protocols, clinical calculators, hospital destinations, and AI-powered assistance—all in one place. INSTANT ACCESS TO PROTOCOLS Browse the complete LA County EMS policy manual with offline access. Documents sync automatically so you always have the latest protocols. Search, bookmark, and reference policies anywhere—even without cell service. HOSPITAL FINDER Find the nearest appropriate facility instantly. Filter by hospital type, view services offered, and get directions—all based on your current location. AI-POWERED CLINICAL ASSISTANT Get instant answers to protocol questions, clinical scenarios, and field situations. Our AI assistant is trained specifically for LA County EMS operations. CLINICAL CALCULATORS & DECISION TOOLS Make confident clinical decisions with 18 built-in tools: • GCS Calculator — Glasgow Coma Scale for adults, children, and infants • mLAPSS/LAMS — Stroke screening with 521 destination guidance • APGAR Score — Rapid newborn assessment • TBSA Calculator — Interactive burn surface area with Rule of 9s • Shock Index & Assessment — Early hemodynamic instability detection • START/JumpSTART Triage — MCI triage for adults and pediatrics • SMR Decision Tool — Spinal motion restriction algorithm • Needle Thoracostomy — Tension pneumothorax decision support • AMA Checklist — Complete refusal documentation with capacity assessment • Vital Signs Reference — Age-based normal ranges DESTINATION CRITERIA MADE SIMPLE Know exactly where to transport with evidence-based destination tools: • Trauma Criteria — Physiologic, anatomic, and mechanism-based triage • Stroke Criteria — PSC vs CSC decision support • STEMI (SRC) Criteria — Cardiac receiving center guidance • Pediatric (PMC) Criteria — Pediatric medical center destination • Perinatal Criteria — Obstetric emergency routing ESSENTIAL CONTACTS One-tap access to dispatch, base hospitals, specialty centers, and county resources. No more searching through paperwork. BUILT FOR THE FIELD • Works offline — Access protocols without cell service • Fast and reliable — Designed for high-pressure situations • Always current — Automatic document sync keeps you updated • Weekly tips — "Did You Know?" notifications sharpen your skills TRUSTED BY THE LA COUNTY EMS COMMUNITY Join thousands of paramedics and EMTs who rely on this app every shift. Whether you're a new EMT or a seasoned paramedic, this is the reference tool that has your back. *** IMPORTANT DISCLAIMER *** THIS APP IS NOT AN OFFICIAL GOVERNMENT ENTITY AND IS NOT AFFILIATED WITH, ENDORSED BY, OR AUTHORIZED BY LOS ANGELES COUNTY OR ANY GOVERNMENT AGENCY. The information is provided for informational purposes only and is sourced directly from publicly available official government websites. Always verify important details directly on the official site. Use at your own risk. All government-related information in this app is sourced exclusively from the official Los Angeles County Department of Health Services website: Official Source: https://dhs.lacounty.gov/ This includes details about health services, programs, facilities, and other public health information provided by the Health Services - Los Angeles County agency. For the most up-to-date and official information, please visit https://dhs.lacounty.gov/ directly. Thank you for using LA County Paramedic!

About

Karnes County EMS

This app serves as a digital reference for employees of Karnes County EMS. It provides access to essential protocols and information for on-the-job use. Designed for quick and easy access to critical data.

Highlights
  • Employee information access
  • Protocol reference
  • On-the-job data
  • Medical reference tool
Features
Read full description

Karnes County EMS protocols and reference app for employee use.

Screenshots

LA County Paramedic4 screens
Karnes County EMS4 screens

Verdict

The call

The clearest difference is in-app purchases: Karnes County EMS at none against LA County Paramedic's 3. Karnes County EMS also leads on update cadence (every 2 weeks vs every 6 weeks) and iOS requirement (12.0 vs 18.6). LA County Paramedic's advantage is chart position (#195 vs unranked). 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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. LA County Paramedic sells 3 in-app purchases, starting at $0.99 per month. Karnes County EMS asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

On the App Store both sit at effectively the same score — 5.0 for LA County Paramedic against 5.0 for Karnes County EMS. Both are backed by a comparable volume of ratings — 2 and 2 respectively.

UpkeepUpdate frequency

LA County Paramedic ships an update every 6 weeks, Karnes County EMS every 2 weeks. The most recent releases landed on October 31, 2026 and November 3, 2026 respectively.

Scorecard5 real differences · 6 level
LA County Paramedic versus Karnes County EMS: the parameters behind the verdict, then further details
ParameterLA County ParamedicKarnes County EMS
PriceFreeFree
Rating5.0 (2 ratings)5.0 (2 ratings)
Positive reviews43.1% of reviews—
Number of ratings22
Update frequencyEvery 6 weeksEvery 2 weeks — better
AdsNoNo
In-app purchasesYesNo — better
MonetizationFree with in-app purchasesFree — better
Best chart rank#195 — better—
DevicesiPhone, iPadiPhone, iPod
Requires iOS18.612.0 — better
Further details — not scored
Size68 MB73 MB
Age rating17+17+
DeveloperDigital Training Systems IncorporatedCounty of Karnes

Customer experience

LA County Paramedic

All ratings2 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews65 reviews
Positive43.1%
Neutral7.7%
Negative49.2%

Karnes County EMS

All ratings2 ratings
Positive100.0%
Neutral0.0%
Negative0.0%

Bugs and requests

LA County Paramedic

Reported bugs

13 issues
  • App not working
  • Blank pages
  • Doesn't load MCG, Meds or policies
  • All pages are blank
  • Half the numbers for base are wrong
Show 8 more
  • Blank protocols when you click on them
  • ERROR message when opening meds or protocols
  • App crashes constantly
  • Protocols do not have complete information
  • App shuts down after updating
  • App checks for updates then shuts down
  • NonTraumatic Hypotension reverted to Dopamine
  • Cannot pinch to zoom on protocols, policies, and drugs

Requested features

8 requests
  • Update outdated policies (e.g., King Airway vs. iGels)
  • Add San Bernardino County version
  • Add trauma, stemi, edap info to hospital listings
  • Add more information to home meds section
  • Make compatible with iPod Touch
Show 3 more
  • Add dark mode option
  • Allow pinch to zoom on protocols/policies/drugs
  • Add a way to mark or tag home meds as searched

Karnes County EMS

Not enough reviews yet to summarise bugs or requests.

In-app purchases

3 purchases

LA County Paramedic

Subscriptions3
  • Paramedic Monthly Subscription14 Days trial$0.991 Month
  • Paramedic Monthly Subscription14 Days trial$2.991 Month
  • Paramedic Yearly Subscription14 Days trial$29.991 Year
None

Karnes County EMS

No in-app purchases

Questions

Is LA County Paramedic free?
LA County Paramedic is free to download, with in-app purchases available.
Is Karnes County EMS free?
Karnes County EMS is free to download, with no in-app purchases.
Which has better reviews, LA County Paramedic or Karnes County EMS?
LA County Paramedic and Karnes County EMS are both rated 5.0 out of 5 on the App Store, from 2 and 2 ratings respectively.
Do LA County Paramedic or Karnes County EMS have ads?
Neither LA County Paramedic nor Karnes County EMS shows ads.
Which is updated more often, LA County Paramedic or Karnes County EMS?
LA County Paramedic ships an update every 6 weeks, and Karnes County EMS every 2 weeks. Most recently, LA County Paramedic was updated on October 31, 2026 and Karnes County EMS on November 3, 2026.

Other comparisons