# EM vs Pacemaker

The clearest difference is rating: EM at 4.8 against Pacemaker's 3.5. EM also leads on ratings volume (4.4K vs 62). Pacemaker's advantage is monetization model (free vs subscription) and update cadence (every 4 days vs every 6 weeks). On price, review sentiment, ads and in-app purchases there is nothing between them.

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

EM holds the better App Store score, 4.8 against 3.5. That said, the two scores are not equally well evidenced: EM has 4.4K ratings behind it against 62, so its average is the more settled of the two. Written reviews complicate that: 35% of EM's written reviews are positive against 38% of Pacemaker's, so the app with the better star average is not the one people write more warmly about.

EM ships an update every 6 weeks, Pacemaker every 4 days. The most recent releases landed on November 1, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | EM | Pacemaker |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (4.4K ratings)](https://appshunter.io/ios/app/emrap-medical-education/id804248260/reviews)** | [3.5 (62 ratings)](https://appshunter.io/ios/app/pacemaker-id/id1455009191/reviews) |
| Number of ratings | **4.4K** | 62 |
| Positive reviews | 34.7% of reviews | **38.5% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Every 4 days** |
| Monetization | Subscription | **Free** |
| Size | 43 MB | 20 MB |
| Requires iOS | 16.6 | **11.1** |
| Devices | iPhone | **iPhone, iPod** |
| Age rating | 17+ | 4+ |
| Developer | [EM:RAP, Inc.](https://appshunter.io/developer/804248263) | [Bread Co](https://appshunter.io/developer/1472090130) |

## What reviewers say

### EM

[App page](https://appshunter.io/ios/app/emrap-medical-education/id804248260)

Access a comprehensive suite of medical education resources, including audio podcasts, HD videos, board review courses, and literature summaries. This platform offers content for emergency medicine, urgent care, and primary care professionals, aiming to be a one-stop shop for career-long learning.

**Highlights:** Audio podcasts for emergency, urgent, and primary care, HD procedure videos with expert commentary, Board review courses for various medical professionals, LLSA exam preparation, Summarized medical literature reviews, Comprehensive primary care audio series, Urgent care educational products

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

**In-app purchases:** none

**What reviewers like**

- 👍 Best study pod on the market
- 👍 The best
- 👍 Keeping up on the literature
- 👍 Great content and presentation
- 👍 Excellent review of new EM studies & practice

**What reviewers complain about**

- 🐛 Cannot add podcasts to playlist!
- 🐛 Super glitchy app
- 🐛 App is buggy
- 🐛 Crashes frequently
- 🐛 Fundamental Missing Features

**Reported bugs**

- Download function doesn't work
- Downloads Still Don't Work
- Downloads do not work
- Login screen freezes
- Incompatible with older devices

**Requested features**

- Need ipad version
- Needs CarPlay compatibility
- CME needs to be in the app
- Ability to continue playing what was most recently played by default upon opening the app
- Skip forward/backward 15 seconds button on media display


### Pacemaker

[App page](https://appshunter.io/ios/app/pacemaker-id/id1455009191)

This application uses advanced deep learning to identify the manufacturer of pacemakers and defibrillators from X-ray images. It currently supports major brands like Boston Scientific, Biotronik, Medtronic, and St. Jude.

**Highlights:** AI-powered device identification, X-ray image analysis, Pacemaker and defibrillator detection, Supports major manufacturers, Deep-learning model

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

**In-app purchases:** none


## Frequently asked questions

### Is EM free?

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

### Is Pacemaker free?

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

### Which has better reviews, EM or Pacemaker?

EM is rated higher. EM averages 4.8 out of 5 from 4.4K ratings, while Pacemaker averages 3.5 from 62 ratings.

### Do EM or Pacemaker have ads?

Neither EM nor Pacemaker shows ads.

### Which is updated more often, EM or Pacemaker?

EM ships an update every 6 weeks, and Pacemaker every 4 days. Most recently, EM was updated on November 1, 2026 and Pacemaker on October 30, 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.*