# NRMCA Protocols vs Pulsara

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.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

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.

NRMCA Protocols ships an update every 5 months, Pulsara every 3 weeks. Both last shipped on November 1, 2026.

## The numbers

| Metric | NRMCA Protocols | Pulsara |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/nrmca-protocols/id560844401/reviews)** | [4.1 (72 ratings)](https://appshunter.io/ios/app/pulsara-medical-communication/id873184192/reviews) |
| Number of ratings | 1 | **72** |
| Positive reviews | — | 80.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 3 weeks** |
| Monetization | Free | Free |
| Size | 28 MB | 245 MB |
| Requires iOS | **15.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [Acid Remap LLC](https://appshunter.io/developer/323130617) | [CommuniCare Technology, Inc.](https://appshunter.io/developer/820614464) |

## What reviewers say

### NRMCA Protocols

[App page](https://appshunter.io/ios/app/nrmca-protocols/id560844401)

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

**In-app purchases:** none


### Pulsara

[App page](https://appshunter.io/ios/app/pulsara-medical-communication/id873184192)

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

**In-app purchases:** none

**What reviewers like**

- 🚀 Streamlined communication for emergencies
- 💡 Revolutionized prehospital to facility communication
- 👍 Improves patient care and outcomes
- ⏱️ Reduces time to treatment (door to needle/balloon)
- 🤝 Excellent customer service and support

**What reviewers complain about**

- 🐛 First login stopped working
- 🐛 Cannot create a second login
- 🐛 Frustrating and useless app
- 🐛 Poor notification management for Apple Watch
- 🐛 Continues to notify even on mute

**Reported bugs**

- 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

**Requested features**

- 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


## Frequently asked 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 November 1, 2026 and Pulsara on November 1, 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.*