❤️ EDACS (Emergency Chest Pain)
Risk-stratify emergency chest pain with EDACS and the EDACS-ADP.
EDACS (Emergency Chest Pain)
Age (years)
Sex
Age 18–50 with known CAD or ≥ 3 risk factors
Diaphoresis
Pain radiates to arm/shoulder/neck/jaw
Pain occurs/worsens with inspiration
Pain reproduced by palpation
ECG no new ischaemia AND troponin negative (0 & 2 h)
When to use
Identify low-risk chest pain for accelerated discharge.
How it works
Age points + male (6) + age 18–50 with CAD/≥3 risk factors (4) + diaphoresis (3) + radiation to arm/shoulder/neck/jaw (5) − pleuritic (4) − reproducible by palpation (6). Low risk = score < 16 with negative ECG and troponin at 0/2 h.
Key points
- EDACS-ADP enables 2-hour accelerated discharge pathways.
- Requires a non-ischaemic ECG and negative serial troponin.
- Score alone is not sufficient without the ADP criteria.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.