# LA County Paramedic vs Karnes County EMS

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.

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.

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.

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.

## The numbers

| Metric | LA County Paramedic | Karnes County EMS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (2 ratings)](https://appshunter.io/ios/app/la-county-paramedic/id320642443/reviews) | [5.0 (2 ratings)](https://appshunter.io/ios/app/karnes-county-ems/id6469375604/reviews) |
| Number of ratings | 2 | 2 |
| Positive reviews | 43.1% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Every 2 weeks** |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#195** | — |
| Size | 68 MB | 73 MB |
| Requires iOS | 18.6 | **12.0** |
| Devices | iPhone, iPad | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Digital Training Systems Incorporated](https://appshunter.io/developer/320642446) | [County of Karnes](https://appshunter.io/developer/1711851132) |

## What reviewers say

### LA County Paramedic

[App page](https://appshunter.io/ios/app/la-county-paramedic/id320642443)

**Currently charting:** #195 Top Grossing · Medical (US App Store)

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:** macOS Compatibility, Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Paramedic Monthly Subscription | $0.99 | per month |
| Paramedic Monthly Subscription | $2.99 | per month |
| Paramedic Yearly Subscription | $29.99 | per year |

**What reviewers like**

- 👍 Great reference for paramedics
- 👍 AI feature uses LA County policies
- 👍 Provides nearest hospitals and contact numbers
- 👍 Seamless and fast
- 👍 Valuable and updated information

**What reviewers complain about**

- 😞 Subscription model angered past purchasers
- 😞 Developers turned backs on customers
- 😞 Greed over honor and service
- 😞 Shady tactics and lying to customers
- 😞 Not up to date policies

**Reported bugs**

- App not working
- Blank pages
- Doesn't load MCG, Meds or policies
- All pages are blank
- Half the numbers for base are wrong

**Requested features**

- 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


### Karnes County EMS

[App page](https://appshunter.io/ios/app/karnes-county-ems/id6469375604)

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:** macOS Compatibility

**In-app purchases:** none


## Frequently asked 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.

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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.*