# iRefer vs Emergency Department Pathways

The clearest difference is update cadence: Emergency Department Pathways at weekly against iRefer's every 6 weeks. iRefer's advantage is iOS requirement (14.0 vs 16). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. iRefer sells 1 in-app purchase, starting at $149.99 per year and Emergency Department Pathways sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

iRefer ships an update every 6 weeks, Emergency Department Pathways weekly. The most recent releases landed on October 14, 2026 and October 18, 2026 respectively.

## The numbers

| Metric | iRefer | Emergency Department Pathways |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Weekly** |
| Monetization | — | Free with in-app purchases |
| Size | 34 MB | 1 MB |
| Requires iOS | **14.0** | 16 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [The Royal College of Radiologists](https://appshunter.io/developer/1361218734) | [ATIF ELNIL](https://appshunter.io/developer/1886307011) |

## What reviewers say

### iRefer

[App page](https://appshunter.io/ios/app/irefer/id6550924402)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| iRefer Individual Plan | $149.99 | per year |


### Emergency Department Pathways

[App page](https://appshunter.io/ios/app/emergency-department-pathways/id6764677232)

This app provides 33 step-by-step decision pathways for acute and emergency medical presentations. It guides healthcare professionals from recognition through treatment and disposition, with direct links to source guidelines. It's designed for fast, structured decisions at the bedside.

**Highlights:** 33 step-by-step decision pathways, Recognition to disposition guidance, Severity stratification and red flags, Source guideline citations, Fast search functionality, Offline access, Adjustable text size

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| ED Charts — Full Access | $14.99 | one-time |


## Frequently asked questions

### Is iRefer free?

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

### Is Emergency Department Pathways free?

Emergency Department Pathways is free to download, with in-app purchases available.

### Do iRefer or Emergency Department Pathways have ads?

Neither iRefer nor Emergency Department Pathways shows ads.

### Which is updated more often, iRefer or Emergency Department Pathways?

iRefer ships an update every 6 weeks, and Emergency Department Pathways weekly. Most recently, iRefer was updated on October 14, 2026 and Emergency Department Pathways on October 18, 2026.

---

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