Purpose: To evaluate the efficacy and frequency for such an aggressive airway procedure within the Thomas Jefferson EMS Council Region. This is a one year evaluation process.

Requirements for RSI Pilot program:

• NREMT-P certification, current, preferably CCEMT-P or equivalent training with approval of OMD.
• Second provider on scene who is cleared to perform intubation.
• Drugs will only be pushed by RSI cleared provider.
• Written approval by OMD of agency where RSI will be used.
• There will be 100% QI review of pilot program patient encounters.