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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

Clinical Scenario A patient arrives after a high-speed MVC with obvious head trauma. He is confused, intermittently combative, and requires rapid sedation for imaging. Upon his return from CT, the team attempts to calculate a GCS, but sedation, and deteriorating neurologic status make the score difficult to interpret. The question arises: is there a better way to quantify neurologic status at this moment? Summary Glasgow Coma Scale (GCS): Still the standard, but loses accurac

Clinical Scenario Seventy-five-year-old “Nana Eleanor” took her granddaughter ice skating for a birthday outing. Determined to prove she was still spry, she waved away the kiddie support walker—she’d “been skating since Nixon.” Mid-glide selfie attempt → sideways drift → slip on melted ice → hard impact against the boards. EMS found her seated upright, mildly breathless but joking, “Next time I’ll stick to shuffleboard.” In the ED, vitals showed RR 25, SpO₂ 94% on room air, n