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all right guys today were going to be talking about everything you need to know for pre-operative risk assessment so lets get started the first point that everybody is going to be talking about when theyre teaching you this subject is that we dont clear patients for surgery instead we only provide an estimation of the perioperative risks and then make recommendations on ways to reduce or mitigate those risks so when youre going into pre-op medicine the biggest one that everybodys going to be you know questioning is going to be cardiac risk assessment and theres all these complicated graphs that really are just like an eyesore like theres so much stuff going on and you know this is up to date over here theyre very useful i would review them but i dont think theyre really the best and the best one that i found is actually one that was made by my chief resident and was really a lot more clear than those ones and so im going to take you first down the cardiac risk assessment pa