Standardizing PE Response. Saving Lives Through Coordination.
 
The VHAC PERT Protocol is a comprehensive, evidence-based framework designed to guide hospitals and emergency teams across Virginia in the rapid identification, activation, and management of patients with acute pulmonary embolism.
Developed by the Virginia Heart Attack Coalition (VHAC) PE Response Workgroup, this protocol unites best practices, expert input, and real-world feedback from member institutions to streamline critical decisions when every second counts.
 
Key Features:
Rapid Activation Criteria: Clear, objective triggers for PERT activation based on CTA findings, troponin levels, and patient stability.
Standardized Clinical Pathway: A consistent, statewide approach that ensures alignment in PE care from the ED to critical care.
Defined Roles and Workflow: Integrated decision-making between Emergency, Critical Care, Interventional, and Surgical teams.
Anticoagulation Guidance: Evidence-informed dosing and renal-based recommendations to optimize early treatment.
 
Benefits:
Promotes uniform quality care across hospitals and health systems
Reduces variation and delays in PE diagnosis and intervention
Strengthens multidisciplinary collaboration through a standardized process
Supports data-driven quality improvement and future statewide reporting
 
Release Date: October 8, 2025
Developed by: VHAC PE Response Team Workgroup
Availability: Open for statewide utilization and local adoption