Although this study found no significant difference in the FPS rates between direct laryngoscopy and video laryngoscopy, the more frequent use of conventional laryngoscopy was associated with a lower FPS rate among anesthetists.

Both, emergency physicians and paramedics had better FPS rates with the more frequently used video laryngoscope.

Paramedics were more likely not to attempt endotracheal intubation and to use supraglottic airway devices.

Given the importance of securing the airway during resuscitation attempts, to ensure adequate ventilation, more emphasis should be placed on airway management in the education and training of emergency personnel to optimize the process of out-of-hospital cardiopulmonary resuscitation and provide a better outcome for patients.

As patients benefit from a shorter duration of resuscitation and repeated intubation attempts are associated with worse outcomes, tools such as video laryngoscopy and supraglottic airway devices should be used to improve the already difficult conditions for airway management and enable success on the first attempt.

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