# EMS Guidebook vs EMScore

The clearest difference is in-app purchases: EMScore at none against EMS Guidebook's 7. EMScore also leads on update cadence (monthly vs every 6 months). On price, ads, device support and iOS requirement there is nothing between them.

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

EMS Guidebook ships an update every 6 months, EMScore monthly. The most recent releases landed on October 14, 2026 and October 7, 2026 respectively.

## The numbers

| Metric | EMS Guidebook | EMScore |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (90 ratings)](https://appshunter.io/ios/app/ems-guidebook/id527102213/reviews)** | — |
| Number of ratings | **90** | — |
| Positive reviews | 33.3% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 months | **Monthly** |
| Monetization | Free with in-app purchases | — |
| Size | 3 MB | 120 MB |
| Requires iOS | **15.0** | 15.5 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Larry Owens](https://appshunter.io/developer/496138296) | [EMScore](https://appshunter.io/developer/1887029535) |

## 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 |


### EMScore

[App page](https://appshunter.io/ios/app/emscore/id6760958693)

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

**In-app purchases:** none


## Frequently asked questions

### Is EMS Guidebook free?

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

### Is EMScore free?

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

### Do EMS Guidebook or EMScore have ads?

Neither EMS Guidebook nor EMScore shows ads.

### Which is updated more often, EMS Guidebook or EMScore?

EMS Guidebook ships an update every 6 months, and EMScore monthly. Most recently, EMS Guidebook was updated on October 14, 2026 and EMScore on October 7, 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.*