Out-of-hospital cardiac arrest survival rates vary between 7% and 46% and are lower than those for in-hospital; cardiac arrests (IHCA).[1,2] Therefore, efforts are being made to increase survival rates for out-of-hospital cardiac arrests (OHCA). According to advanced cardiac life support (ACLS) guidelines, out-of-hospital cardiac arrest survival rates may be increased by performing cardiopulmonary resuscitation (CPR) with minimal interruptions.[3] According to the latest ACLS, does the patient need an advanced airway? If yes, use the airway that is appropriate to your skill level: King Airway System™, LMA, Combitube™, or endotracheal intubation. However, endotracheal intubation together with continuous CPR will be the basis of a permanent and safe airline management to prevent risk of aspiration, and in respiratory-induced OHCA administration as well as IHCA during long-term procedures such as percutaneous transluminal coronary angioplasty (PTCA).[3]