# palmEM AI vs PediEMS

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.

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.

## The numbers

| Metric | palmEM AI | PediEMS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.2 (75 ratings)](https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047/reviews)** | — |
| Number of ratings | **75** | — |
| Positive reviews | **82.5% of reviews** | 0.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 2 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#104** | — |
| Size | 139 MB | 11 MB |
| Requires iOS | 14.0.0 | **7.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 4+ |
| Developer | [palmER Worldwide LLC](https://appshunter.io/developer/481034130) | [OpenEM Foundation](https://appshunter.io/developer/766470023) |

## What reviewers say

### palmEM AI

[App page](https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047)

**Currently charting:** #104 Top Grossing · Medical (US App Store)

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.

**Highlights:** 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

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

**In-app purchases (5)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly Subscription | $9.99 | per month |
| Monthly Subscription \| Unlimited AI | $9.99 | per month |
| Monthly Subscription | $19.99 | per month |
| Monthly Subscription | $29.99 | per month |
| Annual Subscription \| Unlimited AI | $99.99 | per year |

**What reviewers like**

- 🚀 Quick and efficient reference tool for ED scenarios
- 👍 Easy-to-navigate interface with logical organization
- 📚 Comprehensive content covering emergency medicine topics
- 🎯 Concise, clinically-relevant information without unnecessary fluff
- 💊 Useful features like Broselow tape and drug dosages

**What reviewers complain about**

- ⚠️ Outdated protocols (ACLS, PALS)
- 🐛 Subscription model confusion and access issues
- 📱 Compatibility problems with newer iOS versions
- 🔄 Lack of regular updates over extended periods
- ❌ Note-taking feature removed or non-functional

**Reported bugs**

- 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

**Requested features**

- Add toxidromes section
- Photo support in note-taking function
- Swipe-back gesture for faster navigation
- Procedure images or video links
- Dark mode option


### PediEMS

[App page](https://appshunter.io/ios/app/pediems/id1052414694)

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.

**Highlights:** 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

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

**In-app purchases:** none


## Frequently asked questions

### Is palmEM AI free?

palmEM AI is free to download, with in-app purchases available.

### Is PediEMS free?

PediEMS is free to download, with no in-app purchases.

### Do palmEM AI or PediEMS have ads?

Neither palmEM AI nor PediEMS shows ads.

### Which is updated more often, palmEM AI or PediEMS?

palmEM AI ships an update every 3 weeks, and PediEMS every 2 months. Most recently, palmEM AI was updated on October 20, 2026 and PediEMS on October 8, 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.*