Although many first responders express reservations about airway suctioning, it is a potentially life-saving procedure that when performed correctly has a low risk of complications. With both cold and flu season and allergies causing year-round respiratory issues, it is always 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 main complications of suctioning. Awareness of these potential complications can guide your technique while encouraging your team to remain vigilant and diligent.