# palmEM AI vs Fractures

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 (#135 vs unranked). 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. Fractures asks for nothing beyond the download.

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.

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.

## The numbers

| Metric | palmEM AI | Fractures |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.2 (72 ratings)](https://appshunter.io/ios/app/palmem-ai-em-quick-reference/id481034047/reviews) | **[5.0 (22 ratings)](https://appshunter.io/ios/app/fractures-splinting-app/id1664530786/reviews)** |
| Number of ratings | **72** | 22 |
| Positive reviews | 82.5% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 9 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#135** | — |
| Size | 139 MB | 33 MB |
| Requires iOS | **14.0.0** | 16.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [palmER Worldwide LLC](https://appshunter.io/developer/481034130) | [Tom Fadial](https://appshunter.io/developer/1316852248) |

## What reviewers say

### palmEM AI

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

**Currently charting:** #135 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


### Fractures

[App page](https://appshunter.io/ios/app/fractures-splinting-app/id1664530786)

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:** 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 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*