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Oropharyngeal and nasopharyngeal airways are important adjuncts for basic airway support. The oropharyngeal airway is a curved plastic device that is inserted into the oropharynx, maintaining airway patency by lifting the tongue forward from the posterior wall of the pharynx. The nasopharyngeal airway is a soft plastic tube that is inserted through the nose, similarly facilitating airway patency. EMS personnel should use one of the adjuncts during BVM ventilation. It is possible to use both airway adjuncts simultaneously. While either may be suitable with a nonrebreather mask for a spontaneously breathing patient, insertion of the oropharyngeal airway should be reserved for the patient without a gag reflex. The patient with an intact gag reflex is not likely to tolerate, and probably doesn’t need, the airway adjunct.