This continuing education course, part of the MD3 Rounds educational blog series, focuses on mastering advanced airway management for Maine’s unique operational landscape, emphasizing the principle that the best airway is the one that ventilates. You will learn to navigate the complexities of long transport times and varied patient conditions by prioritizing effective oxygenation and ventilation over specific tools. The module covers the strategic use of supraglottic airways (SGAs), video laryngoscopy (VL), and manual bag-valve-mask (BVM) techniques in accordance with Maine EMS protocols.