Today we welcome back one of our favorite graduates of the EM/IM/CCM residency/fellowship here at University of Maryland, Michael C. Scott, MD. Luckily he stayed local and has been paving his own path across town at St. Agnes Hospital of Baltimore, Maryland. Dr. Scott originally hails from San Antonio Texas, where he graduated from the University of Texas Medical School Medical School before heading up to the North East. Since his arrival to Baltimore, Mike has demonstrated a wide knowledge of modern academic literature and has continued to challenge the status quo in medicine! Dr. Scott has proved time and time again that there are no definitives in medicine and today he tackles a very polarizing topic: what to do with a submassive PE?