Checking a Mallampati score while supine is more accurate for predicting a difficult airway than in the seated position.

For less experienced intubators in the ICU, ramped position offered no benefit over the sniffing position.  However, I'm concerned this article doesn't reflect the ramped position we should use in practice.

VL is a good way to improve first-pass success in the prehospital setting, especially for care providers who don't intubate frequently.

Elevating the head of the bed helped facilitate first-pass success for endotracheal intubation.

I don't think this study showed VL was no better than DL.  Rather, I think it showed that these ICU residents were not adequately trained to intubate with either VL or DL - with only 2 of 3 attempts successful on the first try, taking three minutes!

Early intubation in adult in-hospital arrest was associated with poorer outcomes and worse neurologically-intact survival.

VL was superior to DL in both soiled and clean airways.

Intubation during pediatric arrest did not appear to benefit and may be harmful.

It appears feasible to insert a video laryngoscope while ventilating through a King LT, then deflate the large balloon to reveal the cords, place a bougie, and intubate past the King.

Unlike the authors' conclusion that the basics of cricothyrotomy should be taught in CPR classes, I think the focus should be on proven treatments for choking and on providing high quality out-of-hospital CPR.