Comparison

ASRA Coags vs EchoRef

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

ASRA Coags

This app provides quick access to anticoagulation guidelines for regional anesthesia and interventional pain procedures. It offers drug-specific summaries, recommendations based on procedure type, and detailed information on medication mechanisms and guideline documents.

Highlights
  • Anticoagulation guideline reference
  • Drug-specific summary information
  • Regional anesthesia guidelines
  • Interventional pain guidelines
  • Search by drug or procedure
  • Recommendations by block and intervention type
Features
Read full description

The ASRA COAGS app has been updated with a universal code base and a fresh new look. This subscription-based app is $6.99/annually or free with ASRA Pain Medicine membership. The app transforms the American Society of Regional Anesthesia and Pain Medicine anticoagulation guidelines for Regional Anesthesia and Interventional Pain Procedures into a quick and easy reference for your practice. It provides rapid access to drug-specific summary information. This version combines the most current recommendations from two separate publications: 1. The 2025 guidelines “Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence- Based Guidelines (Fifth Edition)” published in Regional Anesthesia & Pain Medicine. 2. The 2018 Interventional Pain guidelines from the publication “Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition); Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of Pain” published in Regional Anesthesia & Pain Medicine. The app provides direct access to both the regional guidelines and the pain guidelines, also allowing you to choose a default and focus on your specific practice area. Regional Guidelines: 1. Search for drugs by brand name or generic name. 2. Get recommendations based on the block type (e.g. neuraxial, peripheral, obstetric) and the intervention type (e.g. placing a block or removing a catheter). 3. Access more detailed information by using the Information "i" button: a. Mechanism of action for each drug. b. Executive summary for each drug. c. The full 2025 ASRA Pain Medicine regional guideline document. Pain Guidelines: 1. Search for drugs by brand name or generic name. Or start your search by procedure. 2. Get recommendations for: a. High, intermediate, and low risk procedures. b. Modifiers for patients at higher bleeding risk. c. Herbal medications. d. Antidepressant medications. e. When to restart medications after a procedure. 3. Access more detailed information for any drug by using the Information "i" button: a. Mechanism of action for each drug. b. Executive summary for each drug. c. The full 2018 ASRA Pain Medicine interventional pain guideline document. Members of ASRA Pain Medicine receive all society apps for free with their membership. To learn more or to join, visit asra.com/membership. Non-members have access to the content with a low-cost annual subscription.

About

EchoRef

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

Highlights
  • Point-of-care ultrasound (POCUS)
  • Transthoracic echocardiography (TTE)
  • Transesophageal echocardiography (TEE)
  • Cardiac dimensions and valve measurements
  • Hemodynamic and ultrasound calculations
  • Interventional procedure lessons
Features
Read full description

EchoRef is a free iOS ultrasonography educational reference covering point-of-care ultrasound (POCUS), transthoracic echocardiography (TTE), and transesophageal echocardiography (TEE). Additionally, it contains cardiac dimensions, native/prosthetic valve measurements, hemodynamic/ultrasound calculations, and lessons ranging from interventional procedures to mechanical circulatory support. This app is intended for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition, and never disregard or delay seeking professional advice because of information provided by this app. About Rishi Kumar, MD, FACC ("RK.MD") I'm an adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist practicing in academic medicine. I'm passionate about teaching with free, open-access medical education. Learn more on my site: https://rk.md

Screenshots

ASRA Coags4 screens
EchoRef4 screens

Verdict

The call

The clearest difference is review sentiment: EchoRef at 100% against ASRA Coags's 10%. EchoRef also leads on rating (4.9 vs 1.3) and monetization model (free vs subscription). ASRA Coags's advantage is iOS requirement (13.4 vs 26.0). On price, update cadence, ads and in-app purchases 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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

EchoRef holds the better App Store score, 4.9 against 1.3. Both are backed by a comparable volume of ratings — 407 and 1.4K respectively. Written reviews point the same way: 10% of ASRA Coags's written reviews are positive against 100% of EchoRef's.

UpkeepUpdate frequency

ASRA Coags ships an update every 3 months, EchoRef every 2 months. The most recent releases landed on September 21, 2026 and September 18, 2026 respectively.

Scorecard5 real differences · 5 level
ASRA Coags versus EchoRef: the parameters behind the verdict, then further details
ParameterASRA CoagsEchoRef
PriceFreeFree
Rating1.3 (407 ratings)4.9 (1.4K ratings) — better
Positive reviews9.7% of reviews100.0% of reviews — better
Number of ratings4071.4K — better
Update frequencyEvery 3 monthsEvery 2 months — better
AdsNoNo
In-app purchasesNoNo
MonetizationSubscriptionFree — better
DevicesiPhone, iPodiPhone, iPad
Requires iOS13.4 — better26.0
Further details — not scored
Size27 MB105 MB
Age rating17+17+
DeveloperAmerican Society of Regional Anesthesia and Pain MedicineRishi Kumar

Customer experience

ASRA Coags

All ratings407 ratings
Positive6.6%
Neutral0.2%
Negative93.1%
Written reviews207 reviews
Positive9.7%
Neutral0.5%
Negative89.9%

EchoRef

All ratings1,373 ratings
Positive97.2%
Neutral1.4%
Negative1.4%
Written reviews12 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

None

ASRA Coags

No in-app purchases

None

EchoRef

No in-app purchases

Questions

Is ASRA Coags free?
ASRA Coags is free to download, with no in-app purchases.
Is EchoRef free?
EchoRef is free to download, with no in-app purchases.
Which has better reviews, ASRA Coags or EchoRef?
EchoRef is rated higher. ASRA Coags averages 1.3 out of 5 from 407 ratings, while EchoRef averages 4.9 from 1.4K ratings.
Do ASRA Coags or EchoRef have ads?
Neither ASRA Coags nor EchoRef shows ads.
Which is updated more often, ASRA Coags or EchoRef?
ASRA Coags ships an update every 3 months, and EchoRef every 2 months. Most recently, ASRA Coags was updated on September 21, 2026 and EchoRef on September 18, 2026.

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