palmEM AI vs PediEMS
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
palmEM AI
This AI-powered emergency medicine guide provides rapid, evidence-based clinical decision support for medical professionals. It offers tailored guidance for specific patient scenarios and a comprehensive knowledge base, accessible offline.
- AI clinical decision support
- Plain language medical queries
- Evidence-based workups and management
- Offline core content access
- Medication quick reference
- Procedure step-by-step guidance
- Clinical decision rules
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palmEM: Emergency Medicine Quick Reference, Offline Guide, Point-of-Care Reference and AI Clinical Decision Support The most comprehensive EM quick reference ever created, powered by advanced AI. The #1 medical app in 80+ countries. Apple's "What's Hot" and "New and Noteworthy." WHY palmEM? AI that actually understands medicine • Your specific patient scenario. Your exact question. Ask anything in plain language, just like you would ask a colleague, and get tailored clinical guidance in seconds. Not generic overviews or academic deep dives. Real answers for real bedside medicine. The answers you need when seconds count • From routine to rare, common to zebras - get evidence-based clinical decision support in seconds. Skip the scrolling. Skip the page flipping. Get straight to the answer you need. Built by emergency medicine physicians • Clinician-made, clinician-used, continuously updated and refined for real practice. Zero industry influence. And we never sell your data. Works the way you work • Intuitive interface. Dark mode. Minimal taps to answers. Fast, focused, and built for the ED. Offline when you need it • Core reference content is accessible offline, so you are covered even without signal. YOUR COMPLETE EM KNOWLEDGE BASE • Evidence-based workups and management • Differentials, red flags, and next steps • Medication quick reference • Procedures and step-by-step guidance • Pediatric emergencies • Clinical decision rules (HEART, PERC, Wells, Canadian C-Spine, and more) • High-yield content without the fluff TRUSTED BY CLINICIANS WORLDWIDE "I've dumped my $300/year app for palmEM. Cheaper, prettier, faster." —EMtutorials.com "There is so much in here I don't know where to begin. Could I enthuse about this any more?" —Life in the Fast Lane "An excellent, rapid point-of-care reference perfectly designed for the time crunch of the emergency department." —iMedicalApps "The relentless search for an EM app that does it all inevitably leads to palmEM." —Emergency Medicine News PERFECT FOR Emergency Medicine • Urgent Care • Critical Care • Internal Medicine • Family Medicine • Primary Care • EMS • Nursing • Paramedics • NPs • PAs • Medical Students • Residents • Fellows • Attendings TRY RISK-FREE FOR 7 DAYS Start your no-obligation trial. Experience AI-powered clinical support that helps you move faster and think sharper. Download now. Your next shift will thank you. --- DISCLAIMER: This app is intended for medical professionals. It is strictly for educational purposes and is not a substitute for professional medical advice, diagnosis or treatment. Consult with a recognized medical professional before making decisions based on information included in this application. Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://www.palm-er.com/site/privacy-policy/
PediEMS
This app offers a guided approach to pediatric emergency medical services, aligning with local protocols. It includes default protocols for common emergencies and allows agencies to integrate their own custom guidelines.
- Step-by-step protocol walkthroughs
- Customizable agency protocols
- Default emergency protocols included
- Supports Anaphylaxis, Asthma, Croup, Airway Management, Shock, Seizure, Difficulty Breathing
- Protocol integration via email
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PediEMS provides a step-by-step walkthrough for advanced EMS providers based on local agency pediatric protocols. Any EMS agency can add their prehospital protocol by contacting info@wikem.org. The default protocols are Anaphylaxis, Asthma, Croup, Airway Management, Shock, Seizure, and Difficulty Breathing. Contact info@wikem.org to have your EMS system's protocol added into the application.
Screenshots
Verdict
The clearest difference is review sentiment: palmEM AI at 82% against PediEMS's 0%. palmEM AI also leads on update cadence (every 3 weeks vs every 2 months) and chart position (#104 vs unranked). PediEMS's advantage is in-app purchases (none vs 6) and iOS requirement (7.0 vs 14.0.0). On price, ads 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. palmEM AI sells 5 in-app purchases, starting at $9.99 per month. PediEMS asks for nothing beyond the download.
palmEM AI ships an update every 3 weeks, PediEMS every 2 months. The most recent releases landed on October 20, 2026 and October 8, 2026 respectively.
| Parameter | palmEM AI | PediEMS |
|---|---|---|
| Price | Free | Free |
| Rating | 4.2 (75 ratings) — better | — |
| Positive reviews | 82.5% of reviews — better | 0.0% of reviews |
| Number of ratings | 75 — better | — |
| Update frequency | Every 3 weeks — better | Every 2 months |
| Ads | No | No |
| In-app purchases | Yes | No — better |
| Monetization | Free with in-app purchases | Free — better |
| Best chart rank | #104 — better | — |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 14.0.0 | 7.0 — better |
| Further details — not scored | ||
| Size | 139 MB | 11 MB |
| Age rating | 17+ | 4+ |
| Developer | palmER Worldwide LLC | OpenEM Foundation |
Customer experience
palmEM AI
PediEMS
Bugs and requests
palmEM AI
Reported bugs
8 issues- App crashes on latest iOS updates
- Subscription verification fails for previous owners
- Access denied despite full subscription status
- App does not load on iPad
- Note section disappeared after update
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- Pages unable to open
- Blank content display
- Restore purchases feature not working properly
Requested features
8 requests- Add toxidromes section
- Photo support in note-taking function
- Swipe-back gesture for faster navigation
- Procedure images or video links
- Dark mode option
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- Restore and improve note-taking functionality
- More detailed procedure guides
- Enhanced search capabilities
PediEMS
Not enough reviews yet to summarise bugs or requests.
In-app purchases
palmEM AI
- Monthly Subscription$9.991 Month
- Monthly Subscription | Unlimited AI$9.991 Month
- Monthly Subscription$19.991 Month
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- Monthly Subscription$29.991 Month
- Annual Subscription | Unlimited AI7 Days trial2 variants$99.991 Year
PediEMS
No in-app purchases







