# Paramedic Review Plus vs Pierce County EMS Protocols

The clearest difference is price: Pierce County EMS Protocols at Free against Paramedic Review Plus's $13.99. Pierce County EMS Protocols also leads on rating (5.0 vs 2.3) and iOS requirement (15.0 vs 17.6). Paramedic Review Plus's advantage is chart position (#148 vs unranked) and ratings volume (9 vs 1). On update cadence, ads, in-app purchases and device support there is nothing between them.

Pierce County EMS Protocols is free to download; Paramedic Review Plus costs $13.99 up front. Neither carries in-app purchases, so what you see is what you pay.

Pierce County EMS Protocols holds the better App Store score, 5.0 against 2.3. That said, the two scores are not equally well evidenced: Paramedic Review Plus has 9 ratings behind it against 1, so its average is the more settled of the two.

Paramedic Review Plus ships an update every 10 months, Pierce County EMS Protocols every 8 months. The most recent releases landed on November 1, 2026 and October 20, 2026 respectively.

## The numbers

| Metric | Paramedic Review Plus | Pierce County EMS Protocols |
| --- | --- | --- |
| Price | $13.99 | **Free** |
| Rating | [2.3 (9 ratings)](https://appshunter.io/ios/app/paramedic-review-plus/id420015381/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/pierce-county-ems-protocols/id6451150792/reviews)** |
| Number of ratings | **9** | 1 |
| Positive reviews | 41.7% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 8 months** |
| Monetization | Paid | **Free** |
| Best chart rank | **#148** | — |
| Size | 50 MB | 53 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 Review Plus

[App page](https://appshunter.io/ios/app/paramedic-review-plus/id420015381)

**Currently charting:** #148 Top Paid · Medical (US App Store)

This comprehensive study tool prepares users for paramedic coursework, NREMT exams, and recertification. It offers practice exams, topic-based questions, ECG interpretation, and medication calculation exercises to enhance clinical knowledge and critical thinking.

**Highlights:** NREMT-style practice exams, Multiple-choice questions, ECG rhythm interpretation, Medication calculation practice, Clinical judgment scenarios, Topic-based review

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

**In-app purchases:** none


### Pierce County EMS Protocols

[App page](https://appshunter.io/ios/app/pierce-county-ems-protocols/id6451150792)

Access Pierce County (WA) emergency medical protocols offline. Quickly find information with indexed lookup and search, save important entries to favorites, and add custom notes. Content is regularly updated and always available on your device.

**Highlights:** Offline protocol access, Indexed content lookup, Title and text search, Favorites tab, Customizable notes, Regular content updates

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Paramedic Review Plus free?

Paramedic Review Plus costs $13.99, with no in-app purchases.

### Is Pierce County EMS Protocols free?

Pierce County EMS Protocols is free to download, with no in-app purchases.

### Which has better reviews, Paramedic Review Plus or Pierce County EMS Protocols?

Pierce County EMS Protocols is rated higher. Paramedic Review Plus averages 2.3 out of 5 from 9 ratings, while Pierce County EMS Protocols averages 5.0 from 1 ratings.

### Do Paramedic Review Plus or Pierce County EMS Protocols have ads?

Neither Paramedic Review Plus nor Pierce County EMS Protocols shows ads.

### Which is updated more often, Paramedic Review Plus or Pierce County EMS Protocols?

Paramedic Review Plus ships an update every 10 months, and Pierce County EMS Protocols every 8 months. Most recently, Paramedic Review Plus was updated on November 1, 2026 and Pierce County EMS Protocols on October 20, 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.*