What do you do when your trauma patient is too agitated to assess? In this episode, Dr. Fred Gmora takes us into the high-stakes world of emergency medicine, where the decision to sedate or intubate can mean the difference between life and death. He breaks down his approach to managing the unruly trauma patient, emphasizing the importance of rapid sedation with ketamine, maintaining spontaneous respiration, and always resuscitating before intubation. Tune in to hear his expert advice on navigating one of the most challenging scenarios in the ER.