Once the sole domain of anesthesiologists, rapid sequence intubation is now a skill practiced by all emergency department physicians. Dr. Calvin Brown III, attending physician in the emergency department at Brigham and Woman's Hospital in Boston, explains the state of the art in intubation. Dr. Brown is interviewed by Dr. Shira Johnson as he reviews the basic technique of RSI, some of the pearls and pitfalls, and what is on the horizon for this skilled intubation technique.