The proposed change to 12VAC5-31-390 "Destination to specialty care hospitals" currently states "An EMS agency shall follow specialty care hospital triage plans for trauma, stroke, and others as recognized by OEMS..."

I recommend that STEMI be included with trauma and stroke.

All 3 of these conditions can be made less severe when the appropriate interventions are performed earlier rather than later. EMS is an important key in recognizing and pre alerting the receiving facility.