Thirty second drills have 6 steps that can be used to optimise your view. This may be enough to successfully ensure first pass success during intubation.

The 6 steps:

• Release cricoid and use ELM
• Optimise operator position
• Optimise patient position
• Use suction
• Insert deeply and withdraw until recognisable structures are seen
• Change laryngoscope blade/handle/type… video laryngoscopes have been very useful in this regard!

If done efficiently, these steps can be performed within a 30 second time frame. Of course this does not negate the need to maintain situational awareness and one most always prioritise be aware of patient oxygenation and hemodynamics during intubation.