Comparison

NRMCA Protocols vs Pulsara

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

Head to head
About

NRMCA Protocols

Access Northwest Regional Medical Control Authority protocols quickly and offline. Search titles and text, save favorites, and customize hospital contacts and notes. Stay updated with the latest protocols.

Highlights
  • Offline protocol access
  • Indexed lookup
  • Search titles and text
  • Favorites tab
  • Customizable hospital info
  • Customizable notes
Read full description

NRMCA Protocols is an app that provides quick offline access to the Northwest Regional Medical Control Authority protocols. Features include: •Quick indexed lookup of protocols in a matter of seconds •Search titles and text •Favorites tab for quick access of what's important to you •Updated shortly after new protocols are posted online making it more up-to-date than most printed protocol manuals •Customizable hospital contact information and mapping •Customizable notes for each individual protocol entry •Always with you as long as you have your device and never fades or tears

About

Pulsara

This app connects medical caregivers and emergency responders on a unified platform. It streamlines communication and logistics for patient care, from routine transports to mass casualty incidents. The goal is to improve patient outcomes, reduce treatment times, and save resources.

Highlights
  • Team building and communication
  • Connects diverse medical entities
  • Scalable platform for any incident
  • Real-time audio, video, messaging, data
  • Standardized workflows
  • Dynamic care team building
Read full description

During the most critical moments in life, Pulsara® places the power in your hands to build teams and communicate with public safety, public health, and emergency management on the fly. Pulsara unites distributed teams—first responders, emergency medical services, fire departments, hospitals, health systems, behavioral health experts, emergency management, and more—on one scalable communication and logistics platform. From the routine EMS transport to a mass casualty incident, Pulsara’s flexible platform enables teams to standardize workflows and streamline communications for every method of arrival and patient or event type. The result? Decreased treatment times, providers who are empowered to provide better quality of care, reduced provider burnout, and cost and resource savings. In an age when smartphones and mobile technology are used for just about everything, many health systems rely on fax machines, pagers, two-way radios, landline phone calls, and even sticky notes to coordinate patient care. Vital information often falls through the cracks, leading to wasted resources, delayed treatments, decreased quality of care, and billions of dollars lost annually due to medical errors. Unlike other solutions that only connect people within the four walls of their own facility or organization, Pulsara can connect ANYONE from ANYWHERE for ANY condition or event, enabling true systems of care that scale. Purpose-built to improve the lives of people in need and those who serve them, Pulsara streamlines all logistics and communication around patient events. Simply CREATE a dedicated patient channel. BUILD the team. And COMMUNICATE & TRACK using audio, live video, instant messaging, data, images, and key benchmarks, all using the devices you and your teams know and love. You can add a new organization, team, or individual to any encounter, dynamically building a care team as the patient condition and location evolve. And when disaster strikes, Pulsara scales to manage incidents and events, allowing your teams to use the same familiar platform to respond to major incidents the same way they would a routine call. No matter what the situation is, Pulsara connects the right people at the right time, around every patient. At Pulsara, we live by the phrase “It’s About People.” We see our customers as partners in a journey committed to improving the lives of every person they serve. By leveraging innovative communication features through the Pulsara platform, customers across the globe have improved patient outcomes, including: * In Texas, a hospital decreased the time it takes for stroke patients to receive tPA by 59%, dropping from an average of 110 minutes to 46 minutes * In an Australian health system, the ambulance routinely bypasses the emergency department to take patients directly to CT in 7 minutes on average, down 68% from a 22-minute average * A health system in Arkansas treated STEMI patients in an average of 63 minutes, a 19% decrease in just 4 months * An EMS agency in Texas used Pulsara to power their ET3 program and in just 3 weeks, prevented 434 low-acuity patients from needing to go to the hospital * An EMS agency in Texas reported that when using Pulsara for a full-scale crisis exercise, they had 100% accountability for all patients transported Connected teams have the power to achieve incredible results by bringing the focus back to what matters most: people. ================================== PULSARA® is a registered trademark and service mark of CommuniCare Technology, Inc. d/b/a Pulsara in the United States, Australia, New Zealand, and the United Kingdom. OFFICIAL FDA INTENDED USE STATEMENT The Pulsara applications are intended to facilitate communication for and accelerate preparation of acute care coordination. The applications are not intended to be relied upon for making diagnostic or treatment decisions or used in connection with monitoring a patient.

Screenshots

NRMCA Protocols4 screens
Pulsara4 screens

Verdict

The call

The clearest difference is rating: NRMCA Protocols at 5.0 against Pulsara's 4.1. NRMCA Protocols also leads on iOS requirement (15.0 vs 17.0). Pulsara's advantage is update cadence (every 3 weeks vs every 5 months) and ratings volume (72 vs 1). On price, ads, in-app purchases and monetization model 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. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

NRMCA Protocols holds the better App Store score, 5.0 against 4.1. That said, the two scores are not equally well evidenced: Pulsara has 72 ratings behind it against 1, so its average is the more settled of the two.

UpkeepUpdate frequency

NRMCA Protocols ships an update every 5 months, Pulsara every 3 weeks. The most recent releases landed on October 12, 2026 and November 1, 2026 respectively.

Scorecard4 real differences · 6 level
NRMCA Protocols versus Pulsara: the parameters behind the verdict, then further details
ParameterNRMCA ProtocolsPulsara
PriceFreeFree
Rating5.0 (1 ratings) — better4.1 (72 ratings)
Positive reviews—80.0% of reviews
Number of ratings172 — better
Update frequencyEvery 5 monthsEvery 3 weeks — better
AdsNoNo
In-app purchasesNoNo
MonetizationFreeFree
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS15.0 — better17.0
Further details — not scored
Size28 MB245 MB
Age rating17+4+
DeveloperAcid Remap LLCCommuniCare Technology, Inc.

Customer experience

NRMCA Protocols

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%

Pulsara

All ratings71 ratings
Positive76.1%
Neutral1.4%
Negative22.5%
Written reviews45 reviews
Positive80.0%
Neutral2.2%
Negative17.8%

Bugs and requests

NRMCA Protocols

Not enough reviews yet to summarise bugs or requests.

Pulsara

Reported bugs

15 issues
  • First login stopped working
  • Cannot create a second login
  • Poor notification management for Apple Watch integration
  • Continues to notify even on mute
  • Unable to figure out how to stop the relay without hampering notifications on the phone
Show 10 more
  • Goes off even when off call
  • Waking user up after being up for 24hrs
  • Requires logging out of one agency and logging back into another
  • Alert isn’t tied to ringer volume but instead your media volume
  • Unable to turn off after call is over unless the next person on call turns on their app and signs in
  • Poor and unsafe app
  • Either you get notifications when not on call or you end up deleting the app when not on call
  • This dumb app won’t let you turn off your availability after call is over
  • Needs to have the option to select shift start and stop times
  • If you forget to select off after a shift, you will certainly get a 1AM wake up call

Requested features

6 requests
  • Ability to switch between agencies easily
  • Apple Watch app integration
  • Unlock app with Face ID
  • More granular control over alerts
  • Ability to schedule call shifts
Show 1 more
  • Option to select shift start and stop times

In-app purchases

None

NRMCA Protocols

No in-app purchases

None

Pulsara

No in-app purchases

Questions

Is NRMCA Protocols free?
NRMCA Protocols is free to download, with no in-app purchases.
Is Pulsara free?
Pulsara is free to download, with no in-app purchases.
Which has better reviews, NRMCA Protocols or Pulsara?
NRMCA Protocols is rated higher. NRMCA Protocols averages 5.0 out of 5 from 1 ratings, while Pulsara averages 4.1 from 72 ratings.
Do NRMCA Protocols or Pulsara have ads?
Neither NRMCA Protocols nor Pulsara shows ads.
Which is updated more often, NRMCA Protocols or Pulsara?
NRMCA Protocols ships an update every 5 months, and Pulsara every 3 weeks. Most recently, NRMCA Protocols was updated on October 12, 2026 and Pulsara on November 1, 2026.

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