In the Emergency Department at Hennepin Medical County Center, endotracheal intubation is a procedure performed for patients in critical condition who are unable to breathe on their own. It is essential to continue to understand how this procedure can be improved to decrease patient mortality rates and ensure patient safety. My presentation explores the ways in which physicians change the intubation procedure based on the patient’s presentation upon arrival to the emergency department. For this purpose, I observed data collected within the last year for Intubation Quality Improvement, an ongoing project containing information for all patients that have undergone intubation at HCMC. The two main categories of patient presentation are medical and trauma cases. I further split these into subcategories of blunt and penetrating traumas, and the three most common types of medical cases: cardiac arrest, non-overdose AMS, and “other”. The criteria used to assess the way providers intubated were sedative and paralytic choice, and time intervals between steps of the intubation. Results showed that throughout all subcategories, the predominant choice of sedative was etomidate, and the most used paralytic was succinylcholine. The highest likelihood of etomidate being used as the sedative was for patients with the non-overdose AMS presentation, at 83%. The highest likelihood of neither sedative nor paralytic being pushed was observed for patients with penetrating trauma. Moreover, stopwatch times were evaluated to assess differences in the time taken for the intubation procedure. Stopwatch time medians and IQRs for each subcategory indicated almost no differences across presentation types. These findings suggest that the changes providers make to the intubation procedure due to differences in presentation types are minimal in the case of sedative/paralytic choice, and the speed of their procedure. However there, are a multitude of other criteria that may be considered in the future.