palmEM AI vs gistalt
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/
gistalt
This medical game challenges players to quickly assess patient acuity by swiping left for stable patients and right for those needing immediate intervention. It's designed to make training clinical impression skills engaging and fun.
- Patient acuity assessment
- Swipe-based gameplay
- Vital signs and lab results
- Imaging interpretation
- Performance scoring
- Regular content updates
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Your clinical impression (or "gestalt") about a patient's acuity is both critical and difficult to train. gistalt was designed to make it fun! Your goal playing gistalt is to accurately identify which patients are sick (requiring hospitalization or immediate interventions for stabilization) or not-sick (conditions that can be safely treated with outpatient follow-up). gistalt games are simple and fun. You'll start with a stack of patient presentations including vital signs, laboratory results and imaging. Swipe each card left (for not-sick) or right (for-sick) to see the next question. At the end of the stack, review your responses and see your score. Your gistalt score specially gauges your ability to detect the most critically-ill patients and institute the treatments that will make a difference. New questions are added regularly and don't require an app update.
Screenshots
Verdict
The clearest difference is rating: gistalt at 4.9 against palmEM AI's 4.2. gistalt also leads on in-app purchases (none vs 6) and review sentiment (100% vs 82%). palmEM AI's advantage is update cadence (every 3 weeks vs every 22 months) and chart position (#158 vs unranked). On price, ads, device support and iOS requirement 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. gistalt asks for nothing beyond the download.
gistalt holds the better App Store score, 4.9 against 4.2. Both are backed by a comparable volume of ratings — 72 and 16 respectively. Written reviews point the same way: 82% of palmEM AI's written reviews are positive against 100% of gistalt's.
palmEM AI ships an update every 3 weeks, gistalt every 22 months. The most recent releases landed on September 21, 2026 and September 15, 2026 respectively.
| Parameter | palmEM AI | gistalt |
|---|---|---|
| Price | Free | Free |
| Rating | 4.2 (72 ratings) | 4.9 (16 ratings) — better |
| Positive reviews | 82.5% of reviews | 100.0% of reviews — better |
| Number of ratings | 72 — better | 16 |
| Update frequency | Every 3 weeks — better | Every 22 months |
| Ads | No | No |
| In-app purchases | Yes | No — better |
| Monetization | Free with in-app purchases | Free — better |
| Best chart rank | #158 — better | — |
| Devices | iPhone, iPad, iPod — better | iPhone, iPod |
| Requires iOS | 14.0.0 | 13.4 — better |
| Further details — not scored | ||
| Size | 139 MB | 35 MB |
| Age rating | 17+ | 17+ |
| Developer | palmER Worldwide LLC | Tom Fadial |
Customer experience
palmEM AI
gistalt
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
gistalt
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
gistalt
No in-app purchases








