Gain valuable insights from Prof Sripal Bangalore of New York University School of Medicine (US) on the necessity of updating current risk stratification for acute pulmonary embolism (PE). In this concise video, Prof Bangalore emphasises the significance of the Composite Shock Score, which incorporates predictors of normotensive shock. The aim of this approach is to reduce the mortality rate of Intermediate PE patients, which can still reach up to 15%. Prof. Bangalore explains why anticoagulation therapy does not suffice in certain cases and advocates for intervention in stable normotensive acute PE patients.