Although many first responders express reservations about airway suctioning, suctioning the airway is a potentially life-saving procedure that, when correctly performed, has a low risk of complications. With cold and flu season reaching its crescendo and allergy season just around the corner, now is a great time for first responders to brush up on their airway management skills. Continuing education classes and regular drills can prepare you to manage even difficult airways. It’s equally important to be mindful of the most common complications of suctioning. Awareness of these common complications can guide your technique while encouraging your team to remain vigilant and diligent.