*True story behind the title… Use your imagination; rookie, code, view the airway, tube.. tube… yo man! you are stepping on the tube!*
I am a huge advocate for prehospital intubation. Though, I do strongly believe in good equipment, drugs, lots of practice (more than just simulators) and fail-safe options (iGel, etc). Every service has a different type of patient population. Every service has access to different equipment/protocols. Each patient has a different airway.
Grants have helped many services obtain video laryngoscopes. Granted, less ambulances, the greater chance you will have to cool toys in your airway bag. Much like the cardiac monitor was a luxury in the past, I see these devices becoming first line airway in the future.
To adapt and overcome. That’s how we survive in EMS.