# PPP Agency vs EMS Protocol Reference

The clearest difference is rating: EMS Protocol Reference at 5.0 against PPP Agency's 2.6. PPP Agency's advantage is ratings volume (22 vs 1) and device support (3 vs 1). On price, update cadence, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

EMS Protocol Reference holds the better App Store score, 5.0 against 2.6. That said, the two scores are not equally well evidenced: PPP Agency has 22 ratings behind it against 1, so its average is the more settled of the two.

PPP Agency ships an update every 5 months, EMS Protocol Reference every 3 months. The most recent releases landed on November 3, 2026 and October 31, 2026 respectively.

## The numbers

| Metric | PPP Agency | EMS Protocol Reference |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [2.6 (22 ratings)](https://appshunter.io/ios/app/ppp-agency/id489096333/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/ems-protocol-reference/id6761344731/reviews)** |
| Number of ratings | **22** | 1 |
| Positive reviews | 28.6% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 3 months** |
| Monetization | Free | Free |
| Size | 52 MB | 20 MB |
| Requires iOS | **15.0** | 18.0 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 17+ | 17+ |
| Developer | [Acid Remap LLC](https://appshunter.io/developer/323130617) | [RespondersAI LLC](https://appshunter.io/developer/1818178681) |

## What reviewers say

### PPP Agency

[App page](https://appshunter.io/ios/app/ppp-agency/id489096333)

This medical reference app offers quick offline access to select field treatment protocols for paramedics. It features indexed lookup, search functionality, and customizable notes for easy access to essential information.

**Highlights:** Quick indexed lookup, Search titles and text, Favorites tab, Regularly updated content, Customizable notes, Offline access

**In-app purchases:** none


### EMS Protocol Reference

[App page](https://appshunter.io/ios/app/ems-protocol-reference/id6761344731)

Quickly access statewide EMS protocols based on your state, certification level, and chief complaint. Get structured summaries with links to official PDF protocols and medication appendices. AI assistance helps find relevant information, with a history feature to revisit past searches.

**Highlights:** Statewide EMS protocol lookup, Certification level filtering, Chief complaint search, Structured protocol summaries, Links to official PDF protocols, AI-assisted protocol suggestions, Search history

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

**In-app purchases:** none


## Frequently asked questions

### Is PPP Agency free?

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

### Is EMS Protocol Reference free?

EMS Protocol Reference is free to download, with no in-app purchases.

### Which has better reviews, PPP Agency or EMS Protocol Reference?

EMS Protocol Reference is rated higher. PPP Agency averages 2.6 out of 5 from 22 ratings, while EMS Protocol Reference averages 5.0 from 1 ratings.

### Do PPP Agency or EMS Protocol Reference have ads?

Neither PPP Agency nor EMS Protocol Reference shows ads.

### Which is updated more often, PPP Agency or EMS Protocol Reference?

PPP Agency ships an update every 5 months, and EMS Protocol Reference every 3 months. Most recently, PPP Agency was updated on November 3, 2026 and EMS Protocol Reference on October 31, 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.*