Need to prepare our best shot for airway management in emergency department: when the going gets tough, the tough get going

Difficult airway management and difficult intubation can be challenging in any setting but are especially so in the pre-hospital (1), emergency department and intensive care environments. Over the last few decades, a number of devices have been introduced into clinical practice to deal with this challenge. However, very few devices have withstood the test of time better than tracheal tube introducer (bougies).