Comparison

palmEM AI vs Fractures

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

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.

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
Currently charting
Read full description

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/

About

Fractures

This free medical reference app provides emergency physicians and healthcare providers with easy-to-use guidance on managing fractures and bony injuries. It features a bone map, step-by-step splinting instructions, and offline access to expert-approved content.

Highlights
  • Bone map for injury selection
  • Keyword search for fractures
  • Step-by-step splinting instructions
  • Offline access to information
  • Expert-approved and curated content
Features
Read full description

Say hello to Fractures.app - your new best friend when it comes to dealing with fractures and bony injuries! This awesome (and free) app is here to make life easier for emergency physicians and healthcare providers, whether you're a seasoned pro or just starting out. Key Features: - Easy-to-use interface: Use our bone map to select the injured region and get a selection of fractures. You can also search through a comprehensive list with just a keyword. - Step-by-step guidance: No more guesswork! Our app gives you straightforward, easy-to-follow instructions on splint application and managing all sorts of fractures. - Offline support: No internet? No problem: Get crucial fracture info even when you're offline, so you're always ready to roll. - Trustworthy content & expert-approved: Rest easy knowing that all information in Fractures.app is meticulously curated, reviewed, and updated by a team of medical experts, so you're always working with reliable and accurate knowledge. Fractures.app is changing the game for healthcare providers everywhere, putting top-notch fracture treatment info right at your fingertips. Disclaimer: This application is not intended to be used by non-clinicians. If you are not a clinician and have sustained a laceration - please seek professional medical attention.

Screenshots

palmEM AI4 screens
Fractures4 screens

Verdict

The call

The clearest difference is rating: Fractures at 5.0 against palmEM AI's 4.2. Fractures 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 9 months) and chart position (#112 vs unranked). 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

CostPrice · In-app purchases · Ads · Monetization

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

ReceptionRating · Positive reviews · Number of ratings

Fractures holds the better App Store score, 5.0 against 4.2. Both are backed by a comparable volume of ratings — 72 and 22 respectively. Written reviews point the same way: 82% of palmEM AI's written reviews are positive against 100% of Fractures's.

UpkeepUpdate frequency

palmEM AI ships an update every 3 weeks, Fractures every 9 months. The most recent releases landed on September 21, 2026 and September 15, 2026 respectively.

Scorecard8 real differences · 3 level
palmEM AI versus Fractures: the parameters behind the verdict, then further details
ParameterpalmEM AIFractures
PriceFreeFree
Rating4.2 (72 ratings)5.0 (22 ratings) — better
Positive reviews82.5% of reviews100.0% of reviews — better
Number of ratings72 — better22
Update frequencyEvery 3 weeks — betterEvery 9 months
AdsNoNo
In-app purchasesYesNo — better
MonetizationFree with in-app purchasesFree — better
Best chart rank#112 — better—
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS14.0.0 — better16.4
Further details — not scored
Size139 MB33 MB
Age rating17+17+
DeveloperpalmER Worldwide LLCTom Fadial

Customer experience

palmEM AI

All ratings72 ratings
Positive79.2%
Neutral5.6%
Negative15.3%
Written reviews97 reviews
Positive82.5%
Neutral4.1%
Negative13.4%

Fractures

All ratings22 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews8 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

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
Show 3 more
  • 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
Show 3 more
  • Restore and improve note-taking functionality
  • More detailed procedure guides
  • Enhanced search capabilities

Fractures

Not enough reviews yet to summarise bugs or requests.

In-app purchases

5 purchases

palmEM AI

Subscriptions5
  • Monthly Subscription$9.991 Month
  • Monthly Subscription | Unlimited AI$9.991 Month
  • Monthly Subscription$19.991 Month
Show 2 more
  • Monthly Subscription$29.991 Month
  • Annual Subscription | Unlimited AI7 Days trial2 variants$99.991 Year
None

Fractures

No in-app purchases

Questions

Is palmEM AI free?
palmEM AI is free to download, with in-app purchases available.
Is Fractures free?
Fractures is free to download, with no in-app purchases.
Which has better reviews, palmEM AI or Fractures?
Fractures is rated higher. palmEM AI averages 4.2 out of 5 from 72 ratings, while Fractures averages 5.0 from 22 ratings.
Do palmEM AI or Fractures have ads?
Neither palmEM AI nor Fractures shows ads.
Which is updated more often, palmEM AI or Fractures?
palmEM AI ships an update every 3 weeks, and Fractures every 9 months. Most recently, palmEM AI was updated on September 21, 2026 and Fractures on September 15, 2026.

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