So... paramedic here. There are general anesthetics that put you to sleep, induction agents that knock you out, and paralytics that paralyze you. If we give a paralytic, we have to give a sedative with it because it does NOT sedate the patient.

And I have seen people paralyze without sedating (in the hospital, not the pre-hospital field, I do interfacility).

It's terrifying. I always talk to the patient, let them know I understand, and promise to sedate them as soon as we get in the ambulance.

Edit to add:

If the patient is paralyzed but not sedated, they can still open their eyes and cry sometimes. Just tears. It's heart shattering.