Comparison

EMS Guidebook vs NREMT

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

Head to head
About

EMS Guidebook

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
Read full description

EMS Guidebook allows the user to view the medical protocols of specific EMS agencies. This guidebook is meant to be a replacement of the traditional flip book guides that EMTs and Paramedics carry for reference on emergency calls. The specific agencies protocols require passwords to download. Those passwords are available from the agency's Training Officer. The Generic Protocols are available without a password. As part of the base program, each set of protocols contain references such as pediatric vital signs, burn references, c-spine clearance charts, 12-lead guidelines, American Heart Association (AHA) guidelines, START and JumpSTART triage guides. There are also guides to several common cardiac rhythms with examples. If you wish to have your protocols put into this system contact us through the app

About

NREMT

Manage your EMT certification and account securely from your mobile device. Track recertification, update your profile, add courses, and access agency information. Purchase official merchandise directly within the app.

Highlights
  • Secure sign-in with biometrics
  • Verify provider status
  • Manage profile and affiliations
  • Add and track courses
  • Submit recertification applications
  • Access agency rosters
  • Purchase official merchandise
Features
Read full description

Features available to all users • Sign in securely with Touch ID or Face ID • Verify National Registry status for any provider by name or registry number. • Contact the Registry using the Contact Us feature • The National Registry store is available via the app for the first time. Now you can purchase patches, decals, challenge coins and more from inside the app. As a provider, easily maintain your National Registry certification and account from anywhere • Manage your profile, including address, phone number and email updates • Check your Initial Application status as a candidate • View, add and remove your agency affiliations • Add courses, add attachments for courses and view your transcript • Manage your education for recertification, submit your recertification application and check on the status of your recertification application. Add courses on the go • Easily add courses to your Professional Transcript as you complete them. • Never misplace paper certificates: the National Registry Mobile app offers the ability to take a picture or upload a file of any supporting documentation to attach to a course you completed. Track your recertification cycle and submit your recertification application • Easily check your expiration date and recertification application status with just a couple taps on your mobile device. • Manage your education for recertification, fill out, pay for and submit your recertification application all securely from your mobile device. As a Training Officer, access your agency information and keep up to date with your providers • View your agency’s roster and which providers are due to recertify for the upcoming season • Sign off on provider’s skills and education • Approve affiliation requests for your agency • Review Medical Director actions taken against providers in your agency • Approve Inactive to Active requests • Add courses for your agency and assign attendees to the courses As a Medical Director, access your agency information and keep up to date with your providers • View your agency’s roster and which providers are due to recertify for the upcoming season • Sign off on provider’s skills • Approve Inactive to Active requests Disclosure Some features are available for certain accounts only. There is no charge for the National Registry app, but message and data rates may apply. Such charges include those from your communications service provider. For any concerns or issues with the mobile application, please visit https://www.nremt.org/rwd/mobile.

Screenshots

EMS Guidebook4 screens
NREMT4 screens

Verdict

The call

The clearest difference is in-app purchases: NREMT at none against EMS Guidebook's 7. NREMT also leads on ratings volume (8K vs 90) and update cadence (every 2 months vs every 6 months). On price, rating, review sentiment and ads 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. EMS Guidebook sells 7 one-off in-app purchases. NREMT asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

On the App Store both sit at effectively the same score — 4.8 for EMS Guidebook against 4.7 for NREMT. That said, the two scores are not equally well evidenced: NREMT has 8K ratings behind it against 90, so its average is the more settled of the two. Written reviews are what separate them: 33% of EMS Guidebook's written reviews are positive against 37% of NREMT's.

UpkeepUpdate frequency

EMS Guidebook ships an update every 6 months, NREMT every 2 months. The most recent releases landed on October 14, 2026 and October 19, 2026 respectively.

Scorecard4 real differences · 6 level
EMS Guidebook versus NREMT: the parameters behind the verdict, then further details
ParameterEMS GuidebookNREMT
PriceFreeFree
Rating4.8 (90 ratings) — better4.7 (8K ratings)
Positive reviews33.3% of reviews36.7% of reviews — better
Number of ratings908K — better
Update frequencyEvery 6 monthsEvery 2 months — better
AdsNoNo
In-app purchasesYesNo — better
MonetizationFree with in-app purchasesFree — better
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS15.015.0
Further details — not scored
Size3 MB15 MB
Age rating17+12+
DeveloperLarry OwensNational Registry of Emergency Medical Technicians

Customer experience

EMS Guidebook

All ratings90 ratings
Positive97.8%
Neutral0.0%
Negative2.2%
Written reviews9 reviews
Positive33.3%
Neutral11.1%
Negative55.6%

NREMT

All ratings7,962 ratings
Positive93.8%
Neutral3.5%
Negative2.7%
Written reviews90 reviews
Positive36.7%
Neutral13.3%
Negative50.0%

Bugs and requests

EMS Guidebook

Not enough reviews yet to summarise bugs or requests.

NREMT

Reported bugs

4 issues
  • Unable to add payment information
  • Fails to generate registry cards for Apple Wallet
  • App won't open or load past the logo
  • Errors when trying to save changes or upload documents

Requested features

4 requests
  • Dark mode option
  • Auto-populate continuing education hours
  • Ability to input entire refresher courses instead of individual classes
  • Improved communication and support

In-app purchases

7 purchases

EMS Guidebook

One-time7
  • 2009 Utah EMS for Children Off-Line Protocols$1.99
  • District 2B Protocols$2.99
  • 2009 West Virginia EMT Basic Protocols$3.99
Show 4 more
  • 2012 North Carolina EMS Protocols$4.99
  • 2009 North Carolina EMS Protocols$4.99
  • 2010 Hawaii EMS Standing Orders$4.99
  • 2011-2013 St John New Zealand Protocols$4.99
None

NREMT

No in-app purchases

Questions

Is EMS Guidebook free?
EMS Guidebook is free to download, with in-app purchases available.
Is NREMT free?
NREMT is free to download, with no in-app purchases.
Which has better reviews, EMS Guidebook or NREMT?
EMS Guidebook is rated higher. EMS Guidebook averages 4.8 out of 5 from 90 ratings, while NREMT averages 4.7 from 8K ratings.
Do EMS Guidebook or NREMT have ads?
Neither EMS Guidebook nor NREMT shows ads.
Which is updated more often, EMS Guidebook or NREMT?
EMS Guidebook ships an update every 6 months, and NREMT every 2 months. Most recently, EMS Guidebook was updated on October 14, 2026 and NREMT on October 19, 2026.

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