# ROTEM — Coagulation, Interpretation

> Coagulation, Interpretation (iPhone/iPad app by Carlos Sarta.)

- Source: https://appshunter.io/ios/app/rotem/id6789744103 (this page in markdown: same URL + `.md`)
- Developer: [Carlos Sarta](https://appshunter.io/developer/6779777264)
- Category: Medical, Reference
- Price: $2.99
- Age rating: 4+
- Requires: iOS 18.0 · 4 MB
- Languages: American English, French (France), European Spanish
- Released: 2026-07-14
- Data updated: 2026-10-12
- User reviews in markdown: https://appshunter.io/ios/app/rotem/id6789744103/reviews.md

## What is ROTEM?

ROTEM (rotational thromboelastometry) is a point-of-care viscoelastic test that evaluates coagulation in real time using whole blood, rather than just providing an isolated number like PT or aPTT. In just a few minutes, it shows how the clot forms, how firm it is, and whether it degrades, through its channels (EXTEM, INTEM, FIBTEM, APTEM, HEPTEM) and parameters (CT, CFT, A5/A10, MCF, ML). It is a key tool for guiding transfusion therapy in trauma, cardiac surgery, postpartum hemorrhage, and severe perioperative bleeding.
The problem: ROTEM provides a lot of information quickly... but interpreting it under pressure, remembering normal ranges, and translating it into a concrete action plan isn't always easy, especially outside clinical areas where it is used daily.
That’s where ROTEM Interpreter comes in.
Enter the values from the terminal, and the app does the rest:
Live temogram: As you type, the clot morphology for each channel is drawn—just as you see it on the device—connecting the numbers with the visual image to cement the pattern in your memory.
Automatic interpretation: Identifies key patterns: hyperfibrinolysis, fibrinogen vs. platelet deficiency, factor deficiency, heparin effect, and hypercoagulability.
Suggested action with dosing: Translates the findings into practical recommendations, calculating fibrinogen dosage (based on target A5 increase and body weight) and A5-guided platelet dosing.
Step-by-step management algorithm: (EXTEM/FIBTEM) featuring zoom and pan capabilities for detailed exploration.
Integrated guide: Test portfolio, diagnostic patterns, fibrinogen calculation, and an evidence and guidelines section (Cochrane, European Trauma Guideline, ESAIC, EACTS, NICE, OBS2) with links to the original sources.
Device-saved interpretation history: 100% offline, light/dark modes, for both adult and pediatric profiles.
Who is this for: Intensivists, anesthesiologists, emergency physicians, hematologists, and residents who want to interpret ROTEM quickly and confidently at the bedside.
Decision support tool: This app does not replace clinical judgment or correlation with the patient's context; always verify against local ranges and protocols.


## Version history (last 4 releases)

### 4 — 2026-10-05

ROTEM Interpreter — Now with Clinical Report
Interpreting a ROTEM under pressure? Now it's faster and easier to communicate.
Enter the values from the terminal and the app draws the live clot morphology, identifies the pattern (fibrinogen deficiency, thrombocytopenia, hyperfibrinolysis, heparin effect, hypercoagulability), and suggests an action plan with calculated dosing.
What's New: Generate a one-tap Clinical Report that displays the thromboelastogram of all channels side-by-side, along with coagulation times and the fibrinogen report — ready to save or share with your team.
Features an interactive management algorithm, an interpretation guide, and integrated scientific evidence (Cochrane, European guidelines, NICE). Works 100% offline.
Decision support tool. Does not replace clinical judgment.
Exportable Clinical Report — generates a ready-to-share view featuring:
Thromboelastograms of all channels in parallel (not one by one)
Coagulation times (CT/CFT) per channel
Fibrinogen report with calculated dosage
Findings and suggested action plan
Bug Fix: Fibrinogen deficiency is now correctly detected even when overall clot firmness is compensated by platelets.

### 3 — 2026-09-09

ROTEM Interpreter — ahora con Reporte Clínico
¿Interpretar un ROTEM bajo presión? Ahora es más rápido y más fácil de comunicar.
Introduce los valores del terminal y la app dibuja la morfología del coágulo en vivo, identifica el patrón (déficit de fibrinógeno, trombocitopenia, hiperfibrinólisis, efecto de heparina, hipercoagulabilidad) y te sugiere la conducta con dosis calculada.
Novedad: genera un Reporte Clínico de un toque que pone en paralelo el tromboelastograma de todos los canales, los tiempos de coagulación y el reporte de fibrinógeno — listo para guardar o enviar a tu equipo.
Con algoritmo de manejo interactivo, guía de interpretación y evidencia científica (Cochrane, guías europeas, NICE) integradas. Funciona 100% sin conexión.
Herramienta de apoyo a la decisión. No sustituye el juicio clínico.

Reporte clínico exportable — genera una vista lista para compartir con:

Tromboelastograma de todos los canales en paralelo (no uno por uno)
Tiempos de coagulación (CT/CFT) por canal
Reporte de fibrinógeno con dosis calculada
Hallazgos y conducta sugerida

Corrección: el déficit de fibrinógeno ahora se detecta correctamente incluso cuando la firmeza global del coágulo está compensada por las plaquetas

### 2 — 2026-08-02

Corrección del FIBTEM en el deficit de fibrinogeno

### 1.0 — 2026-07-14

No release notes.

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## More apps by Carlos Sarta

- [PICUCalc](https://appshunter.io/ios/app/picucalc/id6779777262)
- [ScoresAPP](https://appshunter.io/ios/app/scoresapp/id6784753361)

All apps by Carlos Sarta: https://appshunter.io/developer/6779777264

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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 2026-10-12.*