| 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.
