Why STEMI Isn’t Enough Anymore: The EMS OMI Criteria Update

STEMI is out. OMI is in. In this episode of The Erik and Matt Show (EMS), Dr. Axene and Matt Ball unpack the newest data on occlusive myocardial infarction (OMI) criteria—and why sticking to traditional STEMI patterns could cause you to miss up to 34% of heart attacks. They break down the April 2025 literature, discuss real-world EMS implications, and challenge every provider to rethink how they read 12-leads. Whether you're a medic, medical director, or firefighter-paramedic, this one's a must-listen.We discussed this topic several months ago but an article just came out this month with some new information. Here is a link to the article.