# Firstline vs VOSS

The clearest difference is ratings volume: Firstline at 645 against VOSS's 1. VOSS's advantage is review sentiment (100% vs 89%). On price, rating, update cadence and ads there is nothing between them.

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

On the App Store both sit at effectively the same score — 4.9 for Firstline against 5.0 for VOSS. That said, the two scores are not equally well evidenced: Firstline has 645 ratings behind it against 1, so its average is the more settled of the two. Written reviews are what separate them: 89% of Firstline's written reviews are positive against 100% of VOSS's.

Both ship on a similar rhythm, roughly fortnightly. The most recent releases landed on October 29, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | Firstline | VOSS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (645 ratings)](https://appshunter.io/ios/app/firstline-clinical-decisions/id921339941/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/voss/id6759835982/reviews)** |
| Number of ratings | **645** | 1 |
| Positive reviews | 89.5% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Fortnightly | Fortnightly |
| Monetization | Free | Free |
| Size | 3 MB | 8 MB |
| Requires iOS | 17.0 | 17.0 |
| Devices | **iPhone, iPad** | iPhone |
| Age rating | 17+ | 17+ |
| Developer | [Spectrum Mobile Health Inc.](https://appshunter.io/developer/1072846527) | [Kalu Ejibe](https://appshunter.io/developer/1881080288) |

## What reviewers say

### Firstline

[App page](https://appshunter.io/ios/app/firstline-clinical-decisions/id921339941)

Provides healthcare professionals with interactive, point-of-care guidance for optimal patient treatment. Access customizable protocols, antimicrobial stewardship, and infection control information. Updates are rapid and it functions offline.

**Highlights:** Antimicrobial Stewardship guidelines, Infection Prevention & Control protocols, Customizable for healthcare organizations, Antimicrobial formulary information, Pathogen and antibiogram data, Offline functionality

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

**In-app purchases:** none

**What reviewers like**

- 👍 Easy to use and intuitive navigation
- 🎨 Beautiful and visually pleasing design
- 📚 Excellent reference resource for medical professionals
- ⚡ Quick and convenient point-of-care tool
- 🏥 Highly useful for clinical decision-making

**What reviewers complain about**

- 🐛 App fails to load or progress past loading screen
- 🐛 Frequent crashes after updates
- ⚠️ Stability issues requiring reinstallation
- ❌ Unresponsive membership request process

**Reported bugs**

- App will not progress past loading screen
- App crashes constantly on startup after updates
- Requires uninstall and reinstall to resolve crashes
- Crashes return after a few hours or days

**Requested features**

- Treatment duration guidelines for pathogens
- Regional data for additional areas (e.g., Southern Ontario/Hamilton/Toronto)
- More specific treatment duration information


### VOSS

[App page](https://appshunter.io/ios/app/voss/id6759835982)

This app serves as a health companion for patients and a documentation tool for clinicians. Patients can ask health questions, get summaries, and prepare for appointments. Clinicians can capture encounters, generate summaries, and aid documentation.

**Highlights:** Patient text and voice chat, Conversation history, Health conversation summaries, Clinical transcription, Note generation, Specialty-aware summaries, Privacy-focused consent

**In-app purchases:** none


## Frequently asked questions

### Is Firstline free?

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

### Is VOSS free?

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

### Which has better reviews, Firstline or VOSS?

VOSS is rated higher. Firstline averages 4.9 out of 5 from 645 ratings, while VOSS averages 5.0 from 1 ratings.

### Do Firstline or VOSS have ads?

Neither Firstline nor VOSS shows ads.

### Which is updated more often, Firstline or VOSS?

Firstline ships an update fortnightly, and VOSS fortnightly. Most recently, Firstline was updated on October 29, 2026 and VOSS on October 24, 2026.

---

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