# palmEM AI vs ACEP

palmEM AI and ACEP both sit at 4.2 stars, but that hides the real split: 82% of palmEM AI's written reviews are positive against 0% of ACEP's. palmEM AI also leads on chart position (#177 vs unranked) and ratings volume (72 vs 9). ACEP's advantage is in-app purchases (none vs 6). On price, rating, update cadence and ads there is nothing between them.

Both are free to download. palmEM AI sells 5 in-app purchases, starting at $9.99 per month. ACEP asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.2 for palmEM AI against 4.3 for ACEP. That said, the two scores are not equally well evidenced: palmEM AI has 72 ratings behind it against 9, so its average is the more settled of the two. Written reviews are what separate them: 82% of palmEM AI's written reviews are positive against 0% of ACEP's.

palmEM AI ships an update every 3 weeks, ACEP monthly. The most recent releases landed on October 16, 2026 and October 15, 2026 respectively.

## The numbers

| Metric | palmEM AI | ACEP |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.2 (72 ratings)](https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047/reviews) | **[4.3 (9 ratings)](https://appshunter.io/ios/app/acep-mobile/id1623855450/reviews)** |
| Number of ratings | **72** | 9 |
| Positive reviews | **82.5% of reviews** | 0.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Monthly |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#177** | — |
| Size | 139 MB | 48 MB |
| Requires iOS | **14.0.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [palmER Worldwide LLC](https://appshunter.io/developer/481034130) | [American College of Emergency Physicians](https://appshunter.io/developer/527186923) |

## What reviewers say

### palmEM AI

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

**Currently charting:** #177 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


### ACEP

[App page](https://appshunter.io/ios/app/acep-mobile/id1623855450)

Access essential medical information and resources for patient care, all consolidated in one convenient location. This application provides the tools and knowledge needed by healthcare professionals, when they need it most.

**Highlights:** All-in-one medical information, Patient care resources, On-demand access, Essential tools for physicians

**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 ACEP free?

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

### Which has better reviews, palmEM AI or ACEP?

ACEP is rated higher. palmEM AI averages 4.2 out of 5 from 72 ratings, while ACEP averages 4.3 from 9 ratings.

### Do palmEM AI or ACEP have ads?

Neither palmEM AI nor ACEP shows ads.

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

palmEM AI ships an update every 3 weeks, and ACEP monthly. Most recently, palmEM AI was updated on October 16, 2026 and ACEP on October 15, 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.*