I am glad someone finally mentioned QRAM/DESQView. Very nice combination on an XT machine, since often times, you can get a small disk cache in there to help out the old ST-225 (generally) and yes, even do some preemptive multitasking, but LIM 4.0 is required to execute applications in EMS, as that's the point at with the old LIM and AST EEMS standards merged. You would definately need the specialty drivers for this though.
For clarity, QRAM is a cut down version of QEMM intended to use EMS or 8088, 8086 and 80286s machines, in a manner similar to how QEMM manages extended and expanded memory.