Transitioning from direct to video laryngoscopy during the COVID-19 pandemic was associated with a higher endotracheal intubation success rate.

VL is designed to improve glottic visualization. The use of VL by a large, US, multistate ALS ambulance service was associated with increased odds of successful first-pass and overall attempted intubation, which was mediated by better visualization of the glottis. COVID-19 protocols were not associated with success rates.