# ASRA LAST

> Medical app for managing local anesthetic systemic toxicity with integrated ACLS steps. (iPhone/iPad app by American Society of Regional Anesthesia and Pain Medicine.)

- Source: https://appshunter.io/ios/app/asra-last/id922627472 (this page in markdown: same URL + `.md`)
- Developer: [American Society of Regional Anesthesia and Pain Medicine](https://appshunter.io/developer/858796575)
- Category: Medical, Reference
- Price: $3.99
- Rating: 3.75/5 from 4 App Store ratings · 2 written reviews indexed
- Age rating: 17+
- Requires: iOS 12.0 · 12 MB
- Languages: English
- Released: 2014-11-05
- Data updated: 2026-07-01
- Monetization: paid
- User reviews in markdown: https://appshunter.io/ios/app/asra-last/id922627472/reviews.md

## What is ASRA LAST?

The ASRA LAST app facilitates the use of the ASRA Checklist for Treatment of Local Anesthetic Systemic Toxicity during real time patient events or simulation training. Not only do we focus on the dosing and timing of lipid emulsion for a LAST event, but we ensure that providers don’t forget critical ACLS steps as they are integrated into this modified treatment algorithm. This app was built with collaboration from the ASRA Board and Dr. Guy Weinberg, the pioneer and expert in lipid emulsion treatment for local anesthetic toxicity and director of LipidRescue.

• The app provides step by step instructions and reminders for key events throughout the algorithm.  
• Weight based calculations for drug dosing throughout the app.
• Cyclically timed reminders for Pulse Recheck, CPR, drug dosing, and more.
• Differential pathways for pulseless and pulsatile toxicity events.
• Reminders for seizure management.
• In-app quick reference links to the published Checklist, ASRA.com, and LipidRescue.

We’ve also included the ability to generate a Report of all the timed events during the use of the app. This report can be saved, printed, or emailed as needed by the user. In addition, we’ve added the ability for the user to voluntarily submit their report with additional demographic information to LipidRescue so that Dr. Guy Weinberg can continue to share individual experiences of this rare event with the world in an effort to improve outcomes. 

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No Protected Health Information (PHI) or user identifiable information is submitted in the report.
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Project developed at Vanderbilt University Medical Center.
Code written by Mustard Seed Software LLC.

## Key features

- Step-by-step LAST algorithm guidance
- Integrated ACLS steps
- Weight-based drug dosing calculations
- Cyclically timed event reminders
- Differential pathways for toxicity events
- Seizure management reminders
- Event report generation and sharing

## Recent user reviews (2 of 2)

All indexed reviews: https://appshunter.io/ios/app/asra-last/id922627472/reviews.md

### 2/5 — Get rid of version numbers

*2021-12-04*

App works well. No concerns. But the Developer needs to STOP putting “version numbers” into the title of the app. iOS adds all app names (including the version number) to the autocorrect dictionary database on phones. Now, when I tell a colleague “I’ll be there at 4:30,” it gets autocorrected to “I’lol be there at 4:3.0” because it is using the VERSION number in the title of this app. Resetting the keyboard and dictionary databases don’t fix it. What fixed it? Deleting this ASRA app. Now I can type “30” without iOS autocorrect changing it to “3.0”. This app and its developer’s lack of knowledge about how iOS works mean it gets TWO stars. Fix this, get rid of the version # in your app titles, ASRA, and I will reinstall the apps and change my reviews. Until then, these apps have been DELETED.

### 3/5 — Review

*2017-09-09*

This app is good and will guide you however under the information icon, the full algorithm is not available.  That needs to be fixed.

## Frequently asked questions about ASRA LAST

### What is ASRA LAST used for?

ASRA LAST is a medical application designed to guide healthcare providers through the management of Local Anesthetic Systemic Toxicity (LAST) events. It integrates critical ACLS steps and provides timed reminders for essential interventions during such emergencies.

### How does ASRA LAST help with drug dosing?

The app features weight-based calculations for drug dosing throughout the treatment algorithm. This ensures accurate and appropriate medication administration during a LAST event, tailored to the patient's weight.

### Can ASRA LAST be used for training?

Yes, ASRA LAST can be utilized during real-time patient events or for simulation training. Its step-by-step instructions and timed reminders make it a valuable tool for practicing and reinforcing LAST management protocols.

### What kind of reports can ASRA LAST generate?

ASRA LAST can generate a report detailing all timed events that occurred during the app's use. This report can be saved, printed, or emailed, and optionally submitted to LipidRescue for research purposes.

### Is ASRA LAST available on Android devices?

Based on the provided data, ASRA LAST is currently supported on iPhone and iPod devices. Information regarding Android compatibility is not available.

### How often is ASRA LAST updated?

The latest version of ASRA LAST was released on February 14, 2022. The app is updated periodically to ensure its content and functionality remain current with medical best practices.

### What is the age rating for ASRA LAST?

ASRA LAST has an age rating of 17+. This indicates that the content is generally suitable for mature audiences due to the nature of the medical information it provides.

### Does ASRA LAST contain advertisements?

No, ASRA LAST does not contain advertisements. The application is a paid download and is ad-free, allowing for an uninterrupted user experience.

## Version history (last 5 releases)

### 3.2 — 2022-02-14

Updated app icon.

### 3.1 — 2021-07-27

Bug fixes.

### 3.0 — 2021-05-17

This update reflects the latest revisions to the “ASRA Local Anesthetic Systemic Toxicity Checklist: 2020 Version,” written and developed by Joseph M. Neal, Erin J. Neal, and Guy L. Weinberg, Regional Anesthesia & Pain Medicine 2021;46:81-82.

### 2.0 — 2018-03-31

This app has been updated by Apple to display the Apple Watch app icon.

Updated to ASRA Practice Advisory on Local Anesthetic Systemic Toxicity 2017.
Other bug fixes/UI updates.

### 1.0.1 — 2016-12-09

Updated inter-app loading.

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## More apps by American Society of Regional Anesthesia and Pain Medicine

- [ASRA Coags](https://appshunter.io/ios/app/asra-coags/id858796572)
- [ASRA Timeout](https://appshunter.io/ios/app/asra-timeout/id922633660)
- [ASRA Coder](https://appshunter.io/ios/app/asra-coder/id1522708163)
- [ASRA Pain Medicine App](https://appshunter.io/ios/app/asra-pain-medicine-app/id1610595295)

All apps by American Society of Regional Anesthesia and Pain Medicine: https://appshunter.io/developer/858796575

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-07-01.*