Behrens NH, Fischer M, Krieger T, et al. - Researchers conducted a matched-pair analysis from the German Resuscitation Registry (GRR) to determine the outcomes of various methods of airway management used on out-of-hospital cardiac arrest (OHCA) patients. They identified reporting of 89,220 OHCA patients from January 1, 2007 to December 31, 2017. After applying exclusion and inclusion criteria, they identified 19,196 patient's data as eligible for analysis. Return of spontaneous circulation, hospital admission, 24-hour survival, hospital discharge, and discharge with cerebral performance categories 1,2 (CPC1,2) were the assessed endpoints. They defined three categories of airway management: endotracheal tube (“ETT”), laryngeal tube (“LT_only”), and laryngeal to endotracheal tube exchange (“LTEX”). Findings suggest association of “ETT” with higher survival rates and better neurological outcomes in comparison with “LT_only”. Better short-term outcomes were only evident in correlation with using the strategy of “LTEX” vs “LT_only” or “ETT”. As per data from the observational registry, endotracheal intubation by physician staffed EMS is the optimal airway strategy for OHCA in the system.