# Coma scales vs Littmann Learning

The clearest difference is review sentiment: Littmann Learning at 48% against Coma scales's 0%. Littmann Learning also leads on price (Free vs $0.99) and update cadence (every 6 weeks vs every 10 months). Coma scales's advantage is in-app purchases (none vs 11) and iOS requirement (9.0 vs 15.6). On ads and device support there is nothing between them.

Littmann Learning is free to download; Coma scales costs $0.99 up front. Littmann Learning sells 11 in-app purchases, starting at $3.99 per month. Coma scales asks for nothing beyond the download.

Coma scales ships an update every 10 months, Littmann Learning every 6 weeks. The most recent releases landed on September 14, 2026 and September 25, 2026 respectively.

## The numbers

| Metric | Coma scales | Littmann Learning |
| --- | --- | --- |
| Price | $0.99 | **Free** |
| Rating | — | **[4.9 (850 ratings)](https://appshunter.io/ios/app/littmann-learning/id1324485260/reviews)** |
| Number of ratings | — | **850** |
| Positive reviews | 0.0% of reviews | **47.6% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 6 weeks** |
| Monetization | Paid | **Free with in-app purchases** |
| Size | 37 MB | 19 MB |
| Requires iOS | **9.0** | 15.6 |
| Devices | **iPhone, iPad, iPod, Apple Watch** | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Mikael Cohen](https://appshunter.io/developer/949290741) | [CSD Labs](https://appshunter.io/developer/1318756877) |

## What reviewers say

### Coma scales

[App page](https://appshunter.io/ios/app/coma-scales/id1016779143)

This medical app offers essential tools for assessing patient consciousness. It includes the Glasgow Coma Scale for head injuries, the FOUR Score for intubated patients, and the Disability Rating Scale for predicting recovery.

**Highlights:** Glasgow Coma Scale (Adult & Pediatric), FOUR Score, Disability Rating Scale, Apple Watch companion app, Fast consciousness assessment

**Features:** macOS Compatibility, Apple Watch app, Vision Pro support

**In-app purchases:** none


### Littmann Learning

[App page](https://appshunter.io/ios/app/littmann-learning/id1324485260)

This app provides access to real patient heart and lung sounds for auscultation education. It offers visual and audio displays, self-paced learning modules, and background reading material to help users recognize various heart and lung sounds.

**Highlights:** Real patient heart and lung sounds, Visual and audio displays, Self-paced learning modules, Graduated learning difficulty, Background reading material

**Features:** Vision Pro support

**In-app purchases (11)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Standard Plan - 1 month | $3.99 | per month |
| Premium Plan - 1 month | $6.99 | per month |
| Basic Monthly | $8.99 | per month |
| Standard Plan - 1 year | $19.99 | per year |
| Semester Pass | $29.99 | per 6 months |
| Premium Plan - 1 year | $39.99 | per year |
| Full Version | $44.99 | per year |
| Annual Pass | $49.99 | per year |
| CE -  Fundamentals | $124.99 | one-time |
| CE -Advanced | $174.99 | one-time |
| CE - Intermediate | $249.99 | one-time |


## Frequently asked questions

### Is Coma scales free?

Coma scales costs $0.99, with no in-app purchases.

### Is Littmann Learning free?

Littmann Learning is free to download, with in-app purchases available.

### Do Coma scales or Littmann Learning have ads?

Neither Coma scales nor Littmann Learning shows ads.

### Which is updated more often, Coma scales or Littmann Learning?

Coma scales ships an update every 10 months, and Littmann Learning every 6 weeks. Most recently, Coma scales was updated on September 14, 2026 and Littmann Learning on September 25, 2026.

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