# Paramedic Review Plus vs ER NAV

The clearest difference is price: ER NAV at Free against Paramedic Review Plus's $13.99. ER NAV also leads on review sentiment (86% vs 42%) and rating (4.8 vs 2.3). Paramedic Review Plus's advantage is in-app purchases (none vs 1) and chart position (#60 vs #194). On ratings volume, ads, device support and iOS requirement there is nothing between them.

ER NAV is free to download; Paramedic Review Plus costs $13.99 up front. ER NAV sells 1 in-app purchase, starting at $2.99 per month. Paramedic Review Plus asks for nothing beyond the download.

ER NAV holds the better App Store score, 4.8 against 2.3. Both are backed by a comparable volume of ratings — 9 and 16 respectively. Written reviews point the same way: 42% of Paramedic Review Plus's written reviews are positive against 86% of ER NAV's.

Paramedic Review Plus ships an update every 10 months, ER NAV every 3 months. The most recent releases landed on November 11, 2026 and November 8, 2026 respectively.

## The numbers

| Metric | Paramedic Review Plus | ER NAV |
| --- | --- | --- |
| Price | $13.99 | **Free** |
| Rating | [2.3 (9 ratings)](https://appshunter.io/ios/app/paramedic-review-plus/id420015381/reviews) | **[4.8 (16 ratings)](https://appshunter.io/ios/app/er-nav/id6751308029/reviews)** |
| Number of ratings | 9 | **16** |
| Positive reviews | 41.7% of reviews | **85.7% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 3 months** |
| Monetization | Paid | **Freemium** |
| Best chart rank | **#60** | #194 |
| Size | 50 MB | 32 MB |
| Requires iOS | 17.6 | **17.5** |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [Limmer Creative](https://appshunter.io/developer/387423724) | [DirectTo Solutions LLC](https://appshunter.io/developer/1834555580) |

## What reviewers say

### Paramedic Review Plus

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

**Currently charting:** #60 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


### ER NAV

[App page](https://appshunter.io/ios/app/er-nav/id6751308029)

**Currently charting:** #194 Top Grossing · Medical (US App Store)

This app provides EMS professionals with direct navigation to ambulance bays and critical hospital information. It offers features like specialty filtering, user-submitted bay images, and integrated medical references. Users can also access protocols, drug information, and a unique O2 tank calculator.

**Highlights:** Direct ambulance bay navigation, Hospital specialty designations, User-submitted bay images, Integrated medical references, NJ EMS protocol access, O2 tank duration calculator, Real-time traffic flow

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| All Access | $2.99 | per month |


## Frequently asked questions

### Is Paramedic Review Plus free?

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

### Is ER NAV free?

ER NAV is free to download, with in-app purchases available.

### Which has better reviews, Paramedic Review Plus or ER NAV?

ER NAV is rated higher. Paramedic Review Plus averages 2.3 out of 5 from 9 ratings, while ER NAV averages 4.8 from 16 ratings.

### Do Paramedic Review Plus or ER NAV have ads?

Neither Paramedic Review Plus nor ER NAV shows ads.

### Which is updated more often, Paramedic Review Plus or ER NAV?

Paramedic Review Plus ships an update every 10 months, and ER NAV every 3 months. Most recently, Paramedic Review Plus was updated on November 11, 2026 and ER NAV on November 8, 2026.

### Which is more popular, Paramedic Review Plus or ER NAV?

Paramedic Review Plus currently peaks at #60 in the App Store charts, and ER NAV at #194. Chart position reflects recent download velocity rather than total install base.

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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.*