Chest Pain Decision Tool

Chest Pain Decision Tool

A fast, structured decision-support reference for acute chest pain — built to help you rule out the immediately life-threatening causes first, every time.

Designed for qualified healthcare professionals in emergency departments, acute medicine, on-call, and cardiology.

WHAT'S INSIDE
- Initial triage — ECG-first approach, vital signs, and the red flags that demand immediate action
- Acute coronary syndrome — STEMI reperfusion, NSTEMI and unstable angina management, dual antiplatelet therapy
- HEART score & troponin pathway — risk stratification with 0h/1h/2h high-sensitivity troponin protocols for safe discharge
- Aortic dissection — ADD-RS scoring, CT aortogram, type A vs type B management
- Pulmonary embolism — Wells score, PERC rule, sPESI, thrombolysis criteria
- Pericarditis & myocarditis — diagnostic criteria, treatment, return-to-activity advice
- Other causes — musculoskeletal, oesophageal, pneumothorax, costochondritis, anxiety
- Safe discharge & safety-netting — when it's safe to go home, return precautions, follow-up
- Full references & citations — every recommendation linked to its source

EVIDENCE BASE
Built on ESC 2023 ACS, ESC 2019 PE, ESC 2015 Pericarditis, NICE NG185, NICE NG158, BTS Pneumothorax guidance, and landmark trials, with tappable source links throughout.

FREE & FULL ACCESS
Home and Initial Triage are free to use. A single one-time purchase unlocks the complete tool — all clinical pathways, scores, and references. No subscription.

DISCLAIMER
For qualified healthcare professionals. Educational and training use only — not for use as sole clinical guidance. Chest pain assessment requires direct clinical evaluation. All emergency and ACS management decisions must involve senior clinical review and follow local protocols.