Undifferentiated chest pain. Rule out the 5 killers before settling.
Authored pathway active · symptom.chest_pain.ed_undifferentiated.ed
Undifferentiated chest pain. Rule out the 5 killers before settling.
Guidelines: ACC/AHA 2025 Chest Pain Evaluation · ESC 2023 Acute Coronary Syndromes · ACEP 2018 Chest Pain Clinical Policy
Phenotypes (4)
- Chest Pain ED - ACS High Probability
- Chest Pain ED - Aortic Dissection Risk
- Chest Pain ED - Pulmonary Embolism Risk
- Chest Pain ED - Low Risk Non-Cardiac
Red flags (6)
- STEMI / new LBBB on initial 12-lead — activate cath lab; door-to-balloon ≤ 90 min.CRITICAL
- Acute aortic dissection (tearing pain, BP differential ≥ 20 mmHg between arms, widened mediastinum, pulse deficit).CRITICAL
- Massive PE with hemodynamic collapse (SBP < 90 + RV strain on POCUS or high pretest probability).CRITICAL
- Tension pneumothorax (absent breath sounds + tracheal deviation + hypotension + hyperresonance).CRITICAL
- +2 more
Pathway-scoped symptom and exam intake
Test this pathway's ROS and differential links
Uses LR engine critical.spec-assessment-of-chest-pain.v1, then routes suggested engines into the workspace.
19-panel workspace
symptom.chest_pain.ed_undifferentiated · EmergencyStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
6 quick-startsOr jump straight to the atlas
The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.