Well, my steps are pretty straightforward:
- Run The Introjucer from within VS2010 (typically in release... doesn't matter in this case)
- File->New Project...
- (Change project name)
- Change "Files to Auto-Generate:" to "Create a Main.cpp and a basic window"
- Select folder
- Create...
- Add Company Name
- File->Save Project or click on "Save Project and Open in Visual Studio"
Doing "Save Project and Open in Visual Studio" currently has no effect... My guess is because there's no project to open.