Than M, et al. Emerg Med Australas. Development and validation of the Emergency Department Assessment of Chest pain Score and 2 h accelerated diagnostic protocol. 2014 Feb;26(1):34-44. doi: 10.1111/1742-6723.12164.

Than MP, Pickering JW, Aldous SJ, Cullen L, Frampton CM, Peacock WF, Jaffe AS, Goodacre SW, Richards AM, Ardagh MW, Deely JM, Florkowski CM, George P, Hamilton  GJ, Jardine DL, Troughton RW, van Wyk P, Young JM, Bannister L, Lord SJ. Effectiveness of EDACS Versus ADAPT Accelerated Diagnostic Pathways for Chest Pain: A Pragmatic Randomized Controlled Trial Embedded Within Practice. Ann Emerg Med. 2016 Jul;68(1):93-102

Flaws D, Than M, Scheuermeyer FX, Christenson J, Boychuk B, Greenslade JH, Aldous S, Hammett CJ, Parsonage WA, Deely JM, Pickering JW, Cullen L. External validation of the emergency department assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP). Emerg Med J. 2016 Sep;33(9):618-25

Mark DG, Huang J, Chettipally U, Kene MV, Anderson ML, Hess EP, Ballard DW, Vinson DR, Reed ME; Kaiser Permanente CREST Network Investigators. Performance of Coronary Risk Scores Among Patients With Chest Pain in the Emergency Department.  J Am Coll Cardiol. 2018 Feb 13;71(6):606-616

Boyle RSJ, Body R. The diagnostic accuracy of the emergency department assessment of chest pain (Edacs) score: a systematic review and meta-analysis. Ann Emerg Med. 2021;77(4):433-441.

Dr. Martin Than

Dr. Dylan Flaws

Emergency Department Assessment of Chest Pain Score (EDACS)

artery_disease_risk_factors

diaphoresis

radiates

pain_inspiration

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Identifies chest pain patients with low risk of major adverse cardiac event.

Identifies low risk chest pain, longer but more specific than HEART.

EDACS

Daniel Runde, MD, is currently the assistant residency director and an assistant professor of emergency medicine at the University of Iowa Hospitals and Clinics. He received his medical degree at the University of Iowa Carver College of Medicine and completed residency in emergency medicine at St. Luke’s-Roosevelt Hospital Center in New York. He recently finished his Medical Education Fellowship at the department of emergency medicine at Harbor-UCLA. Dr. Runde is interested in evidence-based medicine with a focus on patient-important clinical outcomes, CT utilization in the emergency department and education and evaluation in medical education. Currently, he is in the process of obtaining a Masters in Medical Education through the Office of Consultation and Research in Medical Education at the University of Iowa Hospitals and Clinics.

Daniel Runde, MD

The Emergency Department Assessment of Chest Pain Score (EDACS) identifies chest pain patients with low risk of major adverse cardiac event who could be discharged early from the ED.

ADAPT Protocol

HEART Score

Vancouver Chest Pain Rule

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Calc Function