# The Difficult Airway App vs Pierce County EMS Protocols

The clearest difference is price: Pierce County EMS Protocols at Free against The Difficult Airway App's $4.99. Pierce County EMS Protocols also leads on rating (5.0 vs 4.1). The Difficult Airway App's advantage is ratings volume (22 vs 1) and chart position (#138 vs unranked). On update cadence, ads, in-app purchases and device support there is nothing between them.

Pierce County EMS Protocols is free to download; The Difficult Airway App costs $4.99 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 4.1. That said, the two scores are not equally well evidenced: The Difficult Airway App has 22 ratings behind it against 1, so its average is the more settled of the two.

The Difficult Airway App 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 | The Difficult Airway App | Pierce County EMS Protocols |
| --- | --- | --- |
| Price | $4.99 | **Free** |
| Rating | [4.1 (22 ratings)](https://appshunter.io/ios/app/the-difficult-airway-app/id433176317/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/pierce-county-ems-protocols/id6451150792/reviews)** |
| Number of ratings | **22** | 1 |
| Positive reviews | 31.3% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 8 months** |
| Monetization | Paid | **Free** |
| Best chart rank | **#138** | — |
| Size | 62 MB | 53 MB |
| Requires iOS | **13.0** | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 4+ | 17+ |
| Developer | [Airway Management Education Center](https://appshunter.io/developer/433176320) | [Acid Remap LLC](https://appshunter.io/developer/323130617) |

## What reviewers say

### The Difficult Airway App

[App page](https://appshunter.io/ios/app/the-difficult-airway-app/id433176317)

**Currently charting:** #138 Top Paid · Medical (US App Store)

This medical app assists clinicians in managing emergency airways by providing rapid drug selection and dosing for RSI. It offers decision-making support with algorithms and mnemonics for difficult airways, along with educational resources.

**Highlights:** Adult and pediatric drug dosing for RSI, Obesity and hemodynamic adjustments, Broselow-Luten color system integration, Difficult airway algorithms and predictors, Step-by-step RSI guidance, Customizable drug formulary, Airway anatomy illustrations

**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 The Difficult Airway App free?

The Difficult Airway App costs $4.99, 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, The Difficult Airway App or Pierce County EMS Protocols?

Pierce County EMS Protocols is rated higher. The Difficult Airway App averages 4.1 out of 5 from 22 ratings, while Pierce County EMS Protocols averages 5.0 from 1 ratings.

### Do The Difficult Airway App or Pierce County EMS Protocols have ads?

Neither The Difficult Airway App nor Pierce County EMS Protocols shows ads.

### Which is updated more often, The Difficult Airway App or Pierce County EMS Protocols?

The Difficult Airway App ships an update every 10 months, and Pierce County EMS Protocols every 8 months. Most recently, The Difficult Airway App 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.*