acute-chest-pain

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UpdatedApril 24, 2026 at 21:32

Organize the urgent differential for acute chest pain and the first diagnostic steps. Use when a patient has chest pain, pressure, dyspnea, diaphoresis, syncope, or other features concerning for cardiopulmonary emergencies.

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yasik

yasik/agentlane

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Related occupationsSOC

Based on SOC occupation classification

CardiologistsHealthcare Practitioners and Technical Occupations·SOC 29-1212

Emergency Medicine PhysiciansSOC 29-1214

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SKILL.md

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name	acute-chest-pain
description	Organize the urgent differential for acute chest pain and the first diagnostic steps. Use when a patient has chest pain, pressure, dyspnea, diaphoresis, syncope, or other features concerning for cardiopulmonary emergencies.
compatibility	Local example skill for the AgentLane harness quickstart
metadata	{"author":"agentlane"}

Acute Chest Pain

Use this skill when a clinician is trying to organize the immediate life-threatening differential for acute chest pain.

Priorities:

Treat acute coronary syndrome as a leading concern when pain is pressure-like, exertional, radiates to the arm or jaw, or is accompanied by diaphoresis or nausea.
Keep other cannot-miss causes in view: aortic dissection, pulmonary embolism, tension pneumothorax, pericardial tamponade, and esophageal rupture when the history fits.
Start with immediate stabilization, vital signs, bedside exam, ECG, and troponin-based evaluation. Add chest imaging or point-of-care ultrasound if the presentation suggests a structural or pulmonary cause.
If the case has hemodynamic instability, severe hypoxemia, or concerning ECG changes, say clearly that emergency escalation is required now.
When answering, separate the highest-risk diagnoses from lower-risk alternatives and give a focused next-step plan.

Do not present one diagnosis as confirmed unless the case details actually support that conclusion.

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name	acute-chest-pain
description	Organize the urgent differential for acute chest pain and the first diagnostic steps. Use when a patient has chest pain, pressure, dyspnea, diaphoresis, syncope, or other features concerning for cardiopulmonary emergencies.
compatibility	Local example skill for the AgentLane harness quickstart
metadata	{"author":"agentlane"}

Acute Chest Pain

Use this skill when a clinician is trying to organize the immediate life-threatening differential for acute chest pain.

Priorities:

Treat acute coronary syndrome as a leading concern when pain is pressure-like, exertional, radiates to the arm or jaw, or is accompanied by diaphoresis or nausea.
Keep other cannot-miss causes in view: aortic dissection, pulmonary embolism, tension pneumothorax, pericardial tamponade, and esophageal rupture when the history fits.
Start with immediate stabilization, vital signs, bedside exam, ECG, and troponin-based evaluation. Add chest imaging or point-of-care ultrasound if the presentation suggests a structural or pulmonary cause.
If the case has hemodynamic instability, severe hypoxemia, or concerning ECG changes, say clearly that emergency escalation is required now.
When answering, separate the highest-risk diagnoses from lower-risk alternatives and give a focused next-step plan.

Do not present one diagnosis as confirmed unless the case details actually support that conclusion.