# EMS Guidebook vs NREMT

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.

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

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.

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.

## The numbers

| Metric | EMS Guidebook | NREMT |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (90 ratings)](https://appshunter.io/ios/app/ems-guidebook/id527102213/reviews)** | [4.7 (8K ratings)](https://appshunter.io/ios/app/nremt/id1300657339/reviews) |
| Number of ratings | 90 | **8K** |
| Positive reviews | 33.3% of reviews | **36.7% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 2 months** |
| Monetization | Free with in-app purchases | **Free** |
| Size | 3 MB | 15 MB |
| Requires iOS | 15.0 | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Larry Owens](https://appshunter.io/developer/496138296) | [National Registry of Emergency Medical Technicians](https://appshunter.io/developer/1275585520) |

## 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 |


### NREMT

[App page](https://appshunter.io/ios/app/nremt/id1300657339)

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:** Apple Wallet

**In-app purchases:** none

**What reviewers like**

- 👍 User-friendly
- 🚀 Easy to use
- 🚀 Convenient way to track education
- 👍 Straightforward interface
- 👍 Helpful for medical directors

**What reviewers complain about**

- 🐛 Crashes frequently
- 🐛 Login issues
- 🐛 Unable to upload documents
- 🐛 Glitchy and buggy
- 🐛 Unreliable performance

**Reported bugs**

- 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**

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


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