# Houston Fire vs Massachusetts EMS

The clearest difference is review sentiment: Massachusetts EMS at 59% against Houston Fire's 0%. Massachusetts EMS also leads on update cadence (monthly vs every 5 months) and ratings volume (42 vs 4). Houston Fire's advantage is in-app purchases (none vs 2) and rating (4.5 vs 4.0). On price, ads and device support there is nothing between them.

Both are free to download. Massachusetts EMS sells 2 in-app purchases, starting at $9.99 per year. Houston Fire asks for nothing beyond the download.

Houston Fire holds the better App Store score, 4.5 against 4.0. That said, the two scores are not equally well evidenced: Massachusetts EMS has 42 ratings behind it against 4, so its average is the more settled of the two. Written reviews complicate that: 0% of Houston Fire's written reviews are positive against 59% of Massachusetts EMS's, so the app with the better star average is not the one people write more warmly about.

Houston Fire ships an update every 5 months, Massachusetts EMS monthly. The most recent releases landed on November 3, 2026 and November 6, 2026 respectively.

## The numbers

| Metric | Houston Fire | Massachusetts EMS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.5 (4 ratings)](https://appshunter.io/ios/app/houston-fire-ems-protocols/id879910135/reviews)** | [4.0 (42 ratings)](https://appshunter.io/ios/app/massachusetts-ems/id1050497298/reviews) |
| Number of ratings | 4 | **42** |
| Positive reviews | 0.0% of reviews | **58.8% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 5 months | **Monthly** |
| Monetization | **Free** | Subscription |
| Best chart rank | — | **#177** |
| Size | 53 MB | 38 MB |
| Requires iOS | **15.0** | 17.6 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | +17 |
| Developer | [Acid Remap LLC](https://appshunter.io/developer/323130617) | [Dark Medical Apps LLC](https://appshunter.io/developer/1046115244) |

## What reviewers say

### Houston Fire

[App page](https://appshunter.io/ios/app/houston-fire-ems-protocols/id879910135)

Access Houston Fire Department's EMS protocols and supporting materials offline. Features quick indexed lookup, search functionality, and customizable notes. Stay updated with the latest protocols directly on your device.

**Highlights:** Offline protocol access, Indexed lookup, Search titles and text, Favorites tab, Customizable hospital contacts, Customizable notes

**In-app purchases:** none


### Massachusetts EMS

[App page](https://appshunter.io/ios/app/massachusetts-ems/id1050497298)

**Currently charting:** #177 Top Grossing · Medical (US App Store)

Access prehospital EMS protocols for Massachusetts offline. Features searchable protocols, medication dosages, a pediatric tape, and a map to locate medical centers. Includes a phone list for quick contact.

**Highlights:** Searchable statewide protocols, Medication list with dosages, Pediatric weight-based dosing tape, Map to nearest trauma/stroke centers, Customizable phone list, Offline access

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Annual Susbcription | $9.99 | per year |
| Lifetime Access | $99.99 | one-time |


## Frequently asked questions

### Is Houston Fire free?

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

### Is Massachusetts EMS free?

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

### Which has better reviews, Houston Fire or Massachusetts EMS?

Houston Fire is rated higher. Houston Fire averages 4.5 out of 5 from 4 ratings, while Massachusetts EMS averages 4.0 from 42 ratings.

### Do Houston Fire or Massachusetts EMS have ads?

Neither Houston Fire nor Massachusetts EMS shows ads.

### Which is updated more often, Houston Fire or Massachusetts EMS?

Houston Fire ships an update every 5 months, and Massachusetts EMS monthly. Most recently, Houston Fire was updated on November 3, 2026 and Massachusetts EMS on November 6, 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.*