Review of the ACLS Review app by Limmer Creative

If you've been following my fan page on Facebook you've probably already heard about the ACLS Review app by Limmer Creative.

To give you some background, Dan Limmer is a well known EMT textbook author with lots of street cred. You might recall his appearance on the EMS EduCast live from the conference floor at EMS Today 2011 in Baltimore.

His wife Stephanie (former Director of Internet Sales & Marketing for Lippincott Williams and Wilkins) brings to the table a lot of business eperience. You might call her the brains of the operation. (Kidding, Dan.) 

Together they make up "Limmer Creative" and they are the creators of the well-known EMT Review app and Paramedic Review app for iOS and Android. Now they've branched out and created review apps for ACLS and PALS.

ACLS is a paramedic's "bread and butter". While many different allied health care professionals are required to hold an ACLS certification I'm aware of no other profession that spends as much time driving home mega-code simulations.

If you've "been around the block" a few times in the EMS profession you've probably seen a few different ACLS algorithms. I became a paramedic in 1995 so I've seen the 1995, 2000, 2005 and now the 2010 updates.

Unfortunately, the older you get (it pains me to say this) the harder it is to give up cherished beliefs. We did a lot wrong in the "old days" because frankly, we didn't know any better.

  • The patient's been down for a while? Hyperventilate! He needs oxygen.
  • CPR prior to defibrillation? Fuggedaboudit.
  • C-A-B? Someone's confused! AIRWAY, AIRYWAY, AIRWAY!
  • Clearly this patient needs bretylium

That's one reason I like the ACLS Review app by Limmer Creative. While I pride myself on being well-versed in the literature and I've done my best to help drive best practices in my own EMS system, I find that taking practice tests based on the 2010 AHA ECC Guidelines helps to eradicate previous versions of ACLS that are still swimming around in my mind.

Must be the old age! 

I think I also like to challenge my knowledge of the guidelines. The truth is that I do very well on the tests but that's because I'm passionate about the topic.

The ACLS Review app offers 4 different tests. The way it works is you are given a test question (sometimes with a rhythm strip which I particularly enjoy) and then you are given some choices.

Take this screen shot for example:

You'll notice a little magnifying glass on top of the rhythm strip. If you like you can "tap" it and expand the rhythm strip so you can take a closer look.

For example here's a screen shot of a rhythm strip showing ventricular fibrillation.

Once you select and submit your answer you get a "check" when you're right and an "X" when you're… well… less than right.

However, my favorite thing about the ACLS Review app is that you also get a rationale.

I have found this app to be a very nice supplement to the 2010 AHA ECC guidelines. Sometimes I want to learn through trial-and-error (and not through painstakingly reading through the guidelines while my eyes glaze over).

At the end the ACLS Review app breaks down your score.

The graphical user interface is clean, the program is easy to use, and it has never "crashed" on me.

The ACLS Review app is reasonably priced at $3.99 (Apple iOS) (Android)

You can interact with Limmer Creative in the following ways:

So, now that my review is out of the way, it's time for an exciting announcement!

(Drum roll please.) 

EMS 12-Lead is partnering with Limmer Creative to put together a 12-Lead ECG Challenge app! 

I'm excited about the project and I'd like to thank Dan and Stephanie for appoaching me with this opportunity!

So keep your eyes peeled! This app will be coming soon to an Apple or Android app store near you.

See also:

ACLS Review App can help you master algorithms, prepare for ACLS Certification (


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