ED chest pain / ACS · bedside workflow

Calculate on this page; scores auto-fill the progress note. Short link /r/chest_pain opens the same local workflow.

Guideline HEART / EDACS / GRACE·TIMI; ACS pathways (see tool pages for exact version notes)Reviewed 2026-09-05
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Licensed clinicians only — about this Scene · ED chest pain / ACS · bedside workflow
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Do not share identifiable patient information (PHI). Discuss principles and workflow only — not a substitute for clinical judgement.

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Bedside steps

  1. HEART

    Risk of major adverse cardiac events in ED chest pain.

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  2. EDACS

    Risk-stratify possible cardiac chest pain (Emergency Department Assessment of Chest Pain Score).

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  3. GRACE framework

    GRACE uses 8-variable nonlinear regression (a banded look-up nomogram) to estimate ACS in-hospital and 6-month mortalit…

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  4. TIMIAlternate branch

    14-day risk of death, MI or urgent revascularisation in UA/NSTEMI.

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  5. TIMI STEMIAlternate branch

    Predict 30-day mortality in ST-elevation myocardial infarction.

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Progress note preview
[ED chest pain / ACS · bedside workflow]
HEART：not calculated
EDACS：not calculated
GRACE framework：not calculated
TIMI：not calculated
TIMI STEMI：not calculated
Guideline：HEART / EDACS / GRACE·TIMI; ACS pathways (see tool pages for exact version notes)
Reviewed：2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.
＋元医生Bedside quick-calcED chest pain / ACS · bedside workflowCalculate on this page; scores auto-fill the progress note. Short link /r/chest_pain opens the same local workflow.Guidelines: See version notes on this scene’s tool pages · See version notes on tool pagesBedside steps1HEART2EDACS3GRACE framework4TIMI5TIMI STEMIScan to calculate locallywww.yuandoctor.com/r/chest_pain元医生 · 床旁工具

Save the PNG and share — /r/chest_pain opens the same workflow (local calc, nothing uploaded).

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

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