Your paramedic hears you mumbling something about 'gastric aspiration'. Her eyes roll upwards to heaven in an expression she always seems to be wearing when working with you. Between gritted teeth she calmly suggests that since the patient is conscious & talking, maintaining his own airway, and there is no indication he has vomited, you might want to re-consider. Then she mumbles something about reconsidering doctors training programs. You decide to listen to her anyway & think again.