UpToDate vs PulmTools
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
UpToDate
This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.
- Expert AI conversational guidance
- Gold standard clinical content
- Practice-changing updates
- Patient education materials
- Drug reference and interactions
- Clinical calculators
- Kidney dosing guidance
Read full descriptionHide full description
UpToDate is the clinical decision support solution trusted by over 3M healthcare professionals to help improve care delivery and patient outcomes. Now powered by UpToDate Expert AI, a generative AI experience built on rigorously maintained UpToDate clinical intelligence to delivers fast, clinically grounded answers through a conversational interface. Expert AI, available in select packages and applications, brings together the latest evidence and real-world clinical expertise and provides transparent sourcing, embedded guardrails, and oversight, supporting clinical reasoning and helping clinicians make confident, informed decisions. Key features include: • Expert AI: Conversational guidance that mirrors how clinicians think. • Gold Standard Clinical Content: Clinician-authored clinical intelligence and graded recommendation, enriched with clinical algorithms, graphics, videos, and continuously updated to reflect the latest evidence and clinical care experience. • Practice-Changing Updates: Timely insights that reflect the latest evidence and how it impacts patient care. • Patient Education: Thousands of patient education leaflets in up to 19 different languages to improve patient understanding and support care plan adherence. • Key Points Panels: Quick, clinically actionable guidance to help clinicians avoid common diagnostic and treatment errors embedded in UpToDate search results. • Drug Reference & Interactions: Evidence-based drug monographs and interaction analysis to support safe and informed prescribing decisions. • Clinical Calculators: Over 200 tools to support dosing, risk scoring, and patient assessments. • Rx Transitions: Step-by-step support for switching antidepressants safely. • Kidney Dosing: Drug dosing guidance for patients with renal impairment. Available on mobile, desktop, and integrated into EHRs, ensuring you can access UpToDate’s trusted guidance where and when you need it. Access to features will vary depending on your UpToDate account. Expert AI is now available in personal trainee subscriptions and UpToDate Pro Plus subscriptions in the US, and through select Enterprise Edition accounts. To get access, explore personal subscription options on the UpToDate website or contact your Enterprise account lead. This app is designed for use by medical professionals. If you are not a medical professional, please consult a qualified healthcare provider before making any medical decisions.
PulmTools
This medical app helps clinicians and students interpret blood gas results, utilize clinical calculators, and practice realistic cases. It offers tools for respiratory and critical care, with progress tracking available via a free account.
- Interpret ABGs and VBGs
- Clinical calculators and references
- Realistic case practice
- Progress tracking
- Breathing exercises
- Trend analysis
Read full descriptionHide full description
PulmTools is a focused respiratory and critical care toolkit for clinicians and learners. Interpret ABGs and VBGs, use clinical calculators and references, practice realistic cases, and follow learning or de-identified results over time. Start without registration. Core calculators and educational content are available in guest mode, while a free account enables synchronized progress and saved trends. INTERPRET ABGs & VBGs • Enter arterial or venous blood gas values through focused workflows. • Review pH status, likely primary patterns, expected compensation, and applicable oxygenation context. • See measured values alongside a structured interpretation. • Review methodology, limitations, and linked references within applicable tools. EXPLORE RESPIRATORY & CRITICAL CARE TOOLS Use focused calculators and references for: • Ventilator mechanics, minute ventilation, and static compliance • P/F ratio, A–a gradient, ROX index, oxygenation, and ARDS context • Fick cardiac output, hemodynamics, MAP, and shock index • Oxygen tank duration and respiratory support • Umbilical cord and capillary blood gases • Asthma and pulmonology references • Pulmonary risk and clinical-reference workflows • ECMO referral context and additional critical care tools LEARN THROUGH REALISTIC CASES • Build arterial blood gas interpretation skills with ABGenius. • Practice venous blood gas patterns with VBGenius. • Receive immediate feedback and clear explanations. • Use adaptive review and spaced repetition to revisit concepts that need more practice. • Follow accuracy, streaks, review readiness, and learning progress. SAVE & COMPARE TRENDS With a free account, you can: • Save calculator snapshots using non-identifying case aliases. • Compare measurements over time while retaining relevant clinical context. • Open focused trend analyses for supported tools. • Sync learning progress and saved trends across devices. RESET & REFOCUS Use PulmReset and guided Box Breathing for breathing practice and personal reflection between demanding moments. WHO PULMTOOLS IS FOR Designed for respiratory therapists, nurses, physicians, physician assistants, nurse practitioners, students, residents, fellows, and other respiratory and critical care learners. IMPORTANT INFORMATION PulmTools is intended for educational, informational, and clinical-reference purposes. It does not diagnose, recommend treatment, or replace professional medical judgment, institutional protocols, validated equipment measurements, or bedside assessment. Independently verify calculations, source inputs, and clinical decisions. Consult an appropriately qualified healthcare professional before making medical decisions. Do not enter patient names, medical record numbers, dates of birth, or other directly identifying information when saving cases.
Screenshots
Verdict
The clearest difference is review sentiment: PulmTools at 100% against UpToDate's 28%. PulmTools also leads on rating (5.0 vs 3.6) and monetization model (free vs subscription). UpToDate's advantage is ratings volume (582 vs 8) and chart position (#206 vs unranked). On price, ads, in-app purchases 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
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
PulmTools holds the better App Store score, 5.0 against 3.6. That said, the two scores are not equally well evidenced: UpToDate has 582 ratings behind it against 8, so its average is the more settled of the two. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 100% of PulmTools's.
UpToDate ships an update every 5 weeks, PulmTools every 5 days. The most recent releases landed on October 29, 2026 and October 20, 2026 respectively.
| Parameter | UpToDate | PulmTools |
|---|---|---|
| Price | Free | Free |
| Rating | 3.6 (582 ratings) | 5.0 (8 ratings) — better |
| Positive reviews | 28.2% of reviews | 100.0% of reviews — better |
| Number of ratings | 582 — better | 8 |
| Update frequency | Every 5 weeks | Every 5 days — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Subscription | Free — better |
| Best chart rank | #206 — better | — |
| Devices | iPhone, iPad | iPhone, iPad |
| Requires iOS | 18.0 — better | 18.5 |
| Further details — not scored | ||
| Size | 56 MB | 55 MB |
| Age rating | 17+ | 17+ |
| Developer | UpToDate, Inc. | Ledgeworks LLC |
Customer experience
UpToDate
PulmTools
Bugs and requests
UpToDate
Reported bugs
3 issues- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates
Requested features
3 requests- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options
PulmTools
Not enough reviews yet to summarise bugs or requests.
In-app purchases
UpToDate
No in-app purchases
PulmTools
No in-app purchases
Questions
Is UpToDate free?
Is PulmTools free?
Which has better reviews, UpToDate or PulmTools?
Do UpToDate or PulmTools have ads?
Which is updated more often, UpToDate or PulmTools?
Other comparisons















