Over here, if we are going to intubate a patient with pharmacological assistance, we always use a paralytic if the patient has an intact gag reflex. Under normal circumstances we use 0.3 mg/kg Etomidate, morphine or fentanyl if necessary for analgesia (not for sedation), 0.01 mg/kg Vecuronium as a defasciculating agent, and 1.5 mg/kg Succinylcholine for paralysis. After RSI we use 2.5 - 5 mg Midazolam for continued sedation, and 0.1 mg/kg Vecuronium if we need continued paralysis. We also carry Rocuronium as an additional option.
I agree with the idea that we should be using the correct