Patients can be hypoxic, confused, uncooperative, unstable, and unknowing of their medications or medical conditions and can require airway control within minutes of arrival at the Emergency Department. RSI is the preferred method for securing the airway in the Emergency Department, as these patients are at risk for aspiration. These risks include vomiting from gastrointestinal obstruction, opioids, or hypotension; regurgitation from diabetic gastroparesis, gastroesophageal reflux, increased gastric pressure, or decreased lower esophageal sphincter tone; impaired laryngeal protective reflexes; and difficult airway management.7 Conditions such as recent meal ingestion, pain, obesity, and pregnancy place patients at higher risk as well.