In reading the language for 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 noticed that unfortunately STEMI was not included.  As a citizen of the Commonwealth of Virginia, I believe it is imperative to include the focus of STEMI in this language.  Care for STEMI patients is very time sensitive and standards need to be put in place to ensure adequate care is provided for all STEMI patients.