This paper summarized the work of nursing acute chest pain pre-examination and triage from the following 4 aspects: the general situation of the work of nursing acute chest pain pre-examination and triage at home and abroad, the factors influencing the decision-making of nurses' chest pain triage, the mode of acute chest pain pre-examination and triage, and the tools of acute chest pain pre-examination and triage, so as to provide reference for improving the quality of nursing pre-examination and triage.