TnECHO vs Firstline
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
TnECHO
This application supports neonatologists in training by providing visual guides for neonatal echocardiography. It includes videos and loops to familiarize users with basic views and anatomical structures, aiding self-directed learning in the NICU setting.
- Probe position videos
- 2D echo loops
- Color Doppler loops
- Anatomical structure labeling
- Self-directed learning aid
- NICU decision support
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Targeted Neonatal Echocardiography (TnECHO) is increasingly used by neonatologists in the intensive care setting to support clinical decisions. The technology may be applied for the evaluation of the neonatal heart, brain, abdomen/pelvis and vascular access. This application focuses on neonatologist-performed TnECHO. The provision of real-time information on cardiovascular performance and systemic perfusion, the non-invasive nature of the technique, rapidity of data acquisition and report generation, and ability to perform longitudinal functional assessments have all contributed to in the increased utilization of TnECHO by neonatologists in the neonatal intensive care (NICU). The purpose of this application is to support neonatologists who are actively involved in a recognized TnECHO training program. This application includes videos of probe position, 2D echo loops, color Doppler loops, and labelling of the various structures. This application is aimed at familiarizing neonatologists with basic echocardiography views and aiding self directed learning, but does not represent complete training. This application has not been designed to teach how to screen, diagnose or evaluate congenital heart disease, although it is recognized that neonatologists must be familiar with normal anatomy and deviations from this. Although structural heart disease should always be considered when performing a TnECHO evaluation, if the former is clinically suspected a paediatric cardiologist should always be involved. Image optimization techniques are not discussed as it is usually machine specific.
Firstline
Provides healthcare professionals with interactive, point-of-care guidance for optimal patient treatment. Access customizable protocols, antimicrobial stewardship, and infection control information. Updates are rapid and it functions offline.
- Antimicrobial Stewardship guidelines
- Infection Prevention & Control protocols
- Customizable for healthcare organizations
- Antimicrobial formulary information
- Pathogen and antibiogram data
- Offline functionality
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Healthcare organizations worldwide rely on Firstline to deliver free, customized, interactive guidance directly to the point of care, making it easy for healthcare providers to choose the best treatment for their patients. Features: • Antimicrobial Stewardship guidelines • Infection Prevention & Control protocols • Customizable for any hospital or healthcare organization • Antimicrobial formulary information • Pathogen information including local antibiogram data • WHO AWaRe Antibiotic Book • Messaging system with push notifications • Integrated calculators • Surveys and forms • Cloud-based, rapid updates • Works offline
Screenshots
Verdict
The clearest difference is rating: Firstline at 4.9 against TnECHO's 3.2. Firstline also leads on update cadence (fortnightly vs every 3 months) and ratings volume (645 vs 5). TnECHO's advantage is iOS requirement (7.1 vs 17.0). On price, ads, in-app purchases and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
Firstline holds the better App Store score, 4.9 against 3.2. That said, the two scores are not equally well evidenced: Firstline has 645 ratings behind it against 5, so its average is the more settled of the two. Written reviews point the same way: 80% of TnECHO's written reviews are positive against 89% of Firstline's.
TnECHO ships an update every 3 months, Firstline fortnightly. The most recent releases landed on October 23, 2026 and October 26, 2026 respectively.
| Parameter | TnECHO | Firstline |
|---|---|---|
| Price | Free | Free |
| Rating | 3.2 (5 ratings) | 4.9 (645 ratings) — better |
| Positive reviews | 80.0% of reviews | 89.5% of reviews — better |
| Number of ratings | 5 | 645 — better |
| Update frequency | Every 3 months | Fortnightly — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 7.1 — better | 17.0 |
| Further details — not scored | ||
| Size | 156 MB | 3 MB |
| Age rating | 4+ | 17+ |
| Developer | The Hospital for Sick Children | Spectrum Mobile Health Inc. |
Customer experience
TnECHO
Firstline
Bugs and requests
TnECHO
Not enough reviews yet to summarise bugs or requests.
Firstline
Reported bugs
4 issues- App will not progress past loading screen
- App crashes constantly on startup after updates
- Requires uninstall and reinstall to resolve crashes
- Crashes return after a few hours or days
Requested features
3 requests- Treatment duration guidelines for pathogens
- Regional data for additional areas (e.g., Southern Ontario/Hamilton/Toronto)
- More specific treatment duration information
In-app purchases
TnECHO
No in-app purchases
Firstline
No in-app purchases
