Mat Goebel

Mat Goebel

MD, MAS
Emergency Physician
Baystate Health
Springfield, MA

Mat Goebel, MD, MAS, is a Board-Certified Emergency Medicine physician with a strong background in prehospital care and research. He earned his MD from the University of California San Diego in 2019 and also holds a Master of Advanced Studies in Clinical Research from the same institution. He completed an Emergency Medical Services Fellowship and an Emergency Medicine Research Fellowship at Baystate Medical Center in Springfield, MA. Dr. Goebel has a significant publication record in peer-reviewed journals such as JACEP Open and Prehospital Emergency Care. His research interests include EMS, STEMI, cardiac arrest, EKGs, cybersecurity, natural language processing, data visualization, and machine learning. He is also actively involved in committees for national organizations like the National Associations of EMS Physicians and the American College of Emergency Physicians. He currently serves on Massachusetts’ Medical Services Committee and Emergency Medical Care Advisory Board. Dr. Goebel has been a nationally registered paramedic since 2010 and is currently the Medical Director for the paramedic program at Westfield State University.

NSTEMIs That Need the Cath Lab (Saturday, October 24, 2026 - 9:45-11:00am)

This lecture discusses NSTEMIs (Non-ST-Elevation Myocardial Infarctions) that may require immediate cardiac catheterization, challenging the traditional belief that only STEMIs (ST-Elevation Myocardial Infarctions) require urgent intervention. The session will review five specific ECG patterns, including isolated posterior MI and De Winter’s T waves, that may indicate an acute coronary occlusion despite not meeting traditional millimeter criteria for STEMI. Participants will learn to identify the five ECG patterns considered NSTEMIs that may still require emergent cardiac intervention and understand the importance of recognizing these high-risk findings in a timely manner. The session will also review the application of the modified Sgarbossa criteria, including the proportional cutoff, to evaluate patients with Left Bundle Branch Block (LBBB) and improve recognition of acute coronary occlusion when traditional STEMI criteria are not present.