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Rationale Pulmonary embolism (PE) is the third most common cause of cardiovascular death in the United States. Due to scarcity of data in managing sub-massive and massive pulmonary embolism, clear guidelines do not exist. Diagnosis and management spans multiple disciplines and requires prompt and definitive management. Recent modalities such as catheter directed thrombolysis (CDT), systemic lysis, or surgical embolectomies have been used in an attempt to reduce mortality and morbidity. Multidisciplinary team based approaches have developed across the country to streamline patient care on a case-by-case basis to guide the management of submassive and massive PEs. Aim At the University Of Virginia Medical Center (UVAMC) we developed a PERT, based on previously established models at other institutions, to allow for quick identification of high risk PE patients, offer treatment guidelines, and …