# EMS Guidebook vs IMS ePCR

The clearest difference is rating: EMS Guidebook at 4.8 against IMS ePCR's 3.7. EMS Guidebook also leads on ratings volume (90 vs 3). IMS ePCR's advantage is in-app purchases (none vs 7) and update cadence (monthly vs every 6 months). On price, ads and device support there is nothing between them.

Both are free to download. EMS Guidebook sells 7 one-off in-app purchases. IMS ePCR asks for nothing beyond the download.

EMS Guidebook holds the better App Store score, 4.8 against 3.7. That said, the two scores are not equally well evidenced: EMS Guidebook has 90 ratings behind it against 3, so its average is the more settled of the two. Written reviews complicate that: 33% of EMS Guidebook's written reviews are positive against 50% of IMS ePCR's, so the app with the better star average is not the one people write more warmly about.

EMS Guidebook ships an update every 6 months, IMS ePCR monthly. The most recent releases landed on October 14, 2026 and October 12, 2026 respectively.

## The numbers

| Metric | EMS Guidebook | IMS ePCR |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (90 ratings)](https://appshunter.io/ios/app/ems-guidebook/id527102213/reviews)** | [3.7 (3 ratings)](https://appshunter.io/ios/app/ims-epcr/id1114353989/reviews) |
| Number of ratings | **90** | 3 |
| Positive reviews | 33.3% of reviews | **50.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 months | **Monthly** |
| Monetization | Free with in-app purchases | **Free** |
| Size | 3 MB | 89 MB |
| Requires iOS | 15.0 | **12.2** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Larry Owens](https://appshunter.io/developer/496138296) | [Jason Haines](https://appshunter.io/developer/1114353988) |

## What reviewers say

### EMS Guidebook

[App page](https://appshunter.io/ios/app/ems-guidebook/id527102213)

This app provides a digital reference for emergency medical service protocols, replacing traditional physical guidebooks. It includes essential medical charts, guidelines, and rhythm examples, with agency-specific protocols accessible via password.

**Highlights:** Digital EMS agency protocols, Replacement for physical guidebooks, Pediatric vital signs charts, Burn and c-spine clearance guides, Cardiac rhythm examples, AHA guidelines

**Features:** macOS Compatibility

**In-app purchases (7)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 2009 Utah EMS for Children Off-Line Protocols | $1.99 | one-time |
| District 2B Protocols | $2.99 | one-time |
| 2009 West Virginia EMT Basic Protocols | $3.99 | one-time |
| 2012 North Carolina EMS Protocols | $4.99 | one-time |
| 2009 North Carolina EMS Protocols | $4.99 | one-time |
| 2010 Hawaii EMS Standing Orders | $4.99 | one-time |
| 2011-2013 St John New Zealand Protocols | $4.99 | one-time |


### IMS ePCR

[App page](https://appshunter.io/ios/app/ims-epcr/id1114353989)

This application facilitates pre-hospital patient care reporting by collecting detailed incident and patient data. It includes modules for vital signs, medications, procedures, and narrative documentation. Additionally, it offers NFIRS modules for fire service reporting, covering various incident types and casualties.

**Highlights:** Incident data collection, Patient data collection, Vital signs recording, Medications and procedures tracking, Narrative documentation, NFIRS reporting modules, Fire service incident reporting

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is EMS Guidebook free?

EMS Guidebook is free to download, with in-app purchases available.

### Is IMS ePCR free?

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

### Which has better reviews, EMS Guidebook or IMS ePCR?

EMS Guidebook is rated higher. EMS Guidebook averages 4.8 out of 5 from 90 ratings, while IMS ePCR averages 3.7 from 3 ratings.

### Do EMS Guidebook or IMS ePCR have ads?

Neither EMS Guidebook nor IMS ePCR shows ads.

### Which is updated more often, EMS Guidebook or IMS ePCR?

EMS Guidebook ships an update every 6 months, and IMS ePCR monthly. Most recently, EMS Guidebook was updated on October 14, 2026 and IMS ePCR on October 12, 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.*