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Head-to-head · EMS Software

ImageTrend vs Resgrid

  • Updated Oct 2026
  • Both researched from official sources
  • 1 check side by side
Higher score ImageTrend #4 in EMS Software 8.7/10 Pricing on request ✓ 0 of 6 features Visit ImageTrend
Resgrid #5 in EMS Software 8.5/10 Free plan Free plan✓ 0 of 6 features Visit Resgrid

ImageTrend leads on 0 checks, Resgrid on 1, and 0 are even. Who comes out ahead on the 1 yes/no, price and count check where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreImageTrend · 8.7/10
  • Free planonly Resgrid

ImageTrend scores higher on our rubric for ems software: 8.7 against 8.5 out of 10; our editors rank them #4 and #5.

Resgrid offers free plan; ImageTrend doesn't.

ImageTrend is the better fit for EMS and fire organizations needing configurable records. Resgrid is the better fit for budget-conscious agencies needing dispatch and tracking.

  • ImageTrend fits best

    EMS and fire organizations needing configurable records

  • Resgrid fits best

    Budget-conscious agencies needing dispatch and tracking

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature ImageTrend 8.7/10 Visit ↗ Resgrid 8.5/10 Visit ↗
At a glance
Editor score 8.7 8.5
Ranking #4 in EMS Software #5 in EMS Software
Best for EMS and fire organizations needing configurable records Budget-conscious agencies needing dispatch and tracking
Pricing model Paid Free plan + paid
Starting price Pricing on request —
Free plan — ✓ (best)
Free trial — —
Deployment Cloud, Mobile Cloud, Self-hosted, Desktop, Mobile
Platforms Web, Windows, iOS, Android Web, Windows, macOS, Linux, iOS, Android
Support Docs Email, Tickets, Docs
Compliance HIPAA ISO 27001, GDPR, SSO/SAML, 2FA
Integrations 4 integrations 16 integrations
Built for Small business, Mid-market, Enterprise Small business, Mid-market, Enterprise
Features ImageTrend 0/6 · Resgrid 0/6
Electronic patient reports Not checked yet Not checked yet
Dispatch integration Not checked yet Not checked yet
Crew scheduling Not checked yet Not checked yet
Billing and claims Not checked yet Not checked yet
Fleet or unit tracking Not checked yet Not checked yet
Offline mobile access Not checked yet Not checked yet
Specs
Deployment Not checked yet Not checked yet
Our review
Pros
  • Offline EMS documentation uses encrypted local storage and later sync.
  • Configurable forms, workflows, inspections and scheduled reports.
  • CAD, hospital EHR, billing and scheduling integrations support data exchange.
  • Free hosted dispatch and organization management plan
  • Real-time GPS tracking with mapping, routing, and geocoding
  • Broad communications, workflow automation, and deployment options
Cons
  • Contact-sales purchasing requires a demo-led evaluation.
  • Not a system for emergency-call handling or dispatch management.
  • Documentation is the listed support channel.
  • The Free tier is limited to North American customers
  • ePCR and billing workflows are outside its verified feature set
  • The Free plan centers on hosted dispatch and organization management
Our verdict

ImageTrend provides cloud and mobile software for EMS, fire and rescue organizations. Its Elite platform combines EMS electronic patient care reporting with fire incident records, configurable forms, inspections, personnel and inventory…

Read the review →

Resgrid is an open-source dispatch and operations platform for first responders, dispatchers, departments, and related businesses. It combines computer-aided dispatch with call lifecycle management, personnel and unit records, fleet…

Read the review →
  1. ImageTrendEMS Software 8.7Pricing on request
  2. ResgridEMS Software 8.5Free plan

Strengths and trade-offs

  • ImageTrend — where it wins

    • Offline EMS documentation uses encrypted local storage and later sync.
    • Configurable forms, workflows, inspections and scheduled reports.
    • CAD, hospital EHR, billing and scheduling integrations support data exchange.

    Where it doesn't

    • Contact-sales purchasing requires a demo-led evaluation.
    • Not a system for emergency-call handling or dispatch management.
    • Documentation is the listed support channel.

  • Resgrid — where it wins

    • Free hosted dispatch and organization management plan
    • Real-time GPS tracking with mapping, routing, and geocoding
    • Broad communications, workflow automation, and deployment options

    Where it doesn't

    • The Free tier is limited to North American customers
    • ePCR and billing workflows are outside its verified feature set
    • The Free plan centers on hosted dispatch and organization management
  • ImageTrend8.7/10 · Pricing on request

    Configurable EMS and fire records with offline field access, integrations and reporting.

    Visit ImageTrendFull verdict →
  • Resgrid8.5/10 · Free plan

    A flexible, open-source dispatch suite for agencies that need tracking without ePCR or billing.

    Visit ResgridFull verdict →

More comparisons

All EMS software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update