I guess I should further qualify my earlier post. The only in-the field intubations that I have performed that would quality in this context have been performed on patients that would be deemed semi-conscious at best such as extremely compromised APO or stroke patients who while not GCS - 15, still have some level of alertness. The others have been in theater that were not indicated for one reason or another for RSI and were performed with the benefit of local anesthetic sprayed into the larynx/phlarnyx to reduce the gag reflex. Having said this I can see where non-facilitated intubation may be performed in the field such as high cervical injuries when the patient is reasonably alert, as poor an option as it may be.