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Dr. Nadiem Mahmud joins host Dr. Shazia Siddique to introduce the VOCAL-Penn Score, a new MDCalc tool that gives clinicians four evidence-based risk predictions to guide surgical decision-making in patients with cirrhosis.

Discover how MDCalc is raising the bar for clinical decision support tools with the launch of its new Quality Rating System, designed to help clinicians quickly identify the most evidence-based, equitable, and trustworthy calculators at the point of care.

Clinical Scenario A 68-year-old man presents with right-sided weakness and slurred speech (NIHSS 12), with a negative CT, making him a clear thrombolytic candidate. As you review the risks and benefits, she seems to be on board, but asks, “What’s his chance of bleeding? Do you think it’s worth it?” You step out briefly, pull up MDCalc to better individualize the risk. Check out the HAT and SEDAN scores on MDCalc to quickly assess post-tPA hemorrhage risk at the bedside. Summa