⚡ ADAPT Protocol (Chest Pain)
UseWhen to use: low-risk ED chest pain with 0/2-hour troponin pathway available.
StrataAll negative → early-discharge candidate; any positive → further testing.
LimitsWhen not to use: STEMI / unstable ACS. · Pitfall: skipping clinical gestalt. · Not a sole discharge order.
SourceADAPT protocol (Than et al.)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Four gates.
When to use
When to use: low-risk ED chest pain with 0/2-hour troponin pathway available.
How it works
Positive if TIMI ≥1 OR ischemic ECG OR positive 0- or 2-hour troponin.
Key points
- Four gates.
- Any positive fails.
- Next: observe or discharge pathway.
References
- ADAPT protocol (Than et al.)
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| TIMI risk score ≥1 | No (0) |
|---|---|
| New ischemic ECG changes | No (0) |
| Troponin elevated at 0 h | No (0) |
| Troponin elevated at 2 h | No (0) |
→ADAPTNegative
- Cue：ADAPT-negative — early-discharge candidate if clinically appropriate
| TIMI risk score ≥1 | Yes (+1) |
|---|---|
| New ischemic ECG changes | Yes (+1) |
| Troponin elevated at 0 h | Yes (+1) |
| Troponin elevated at 2 h | Yes (+1) |
→ADAPTPositive
- Cue：ADAPT-positive — further observation / testing per pathway
Verification & sources · governance
FAQ
Frequently asked questions
- Does ADAPT Protocol (Chest Pain) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is ADAPT Protocol (Chest Pain) calculated in practice? Can you show a worked example?
- Inputs: TIMI risk score ≥1 No (0), New ischemic ECG changes No (0), Troponin elevated at 0 h No (0), Troponin elevated at 2 h No (0) → Result: ADAPT Negative（Cue: ADAPT-negative — early-discharge candidate if clinically appropriate） Inputs: TIMI risk score ≥1 Yes (+1), New ischemic ECG changes Yes (+1), Troponin elevated at 0 h Yes (+1), Troponin elevated at 2 h Yes (+1) → Result: ADAPT Positive（Cue: ADAPT-positive — further observation / testing per pathway）