The primary purpose of this study was to measure success of pre-hospital rapid sequence induction (RSI) done by Newton/Fire EMS (NFEMS) using ER and hospital outcomes. RSI is utilized when intubating a patient requires sedation to paralyze the airway and gag reflex. All adult patients who received RSI from NFEMS from 2002-2009 were identified. Comparisons were selected from 1997-2002. Multiple parameters in patient charts were reviewed including patient age, gender, presenting condition, co-morbidities, Glascow Coma Score, oxygen saturation, and hospital outcome. The primary outcomes measured were morbidity and mortality. The RSI procedure by NFEMS was not found to have any significant positive or negative effects on the overall outcome of the patients who did receive it.