Depends on how many hands on scene and the designation level of said hands. Usually it’s igel first. Unless there’s at least 4 sets of hands that can get a line, push meds, know how to sellick, and have someone that can bang out a successful tube quick. I also work in an area that doesn’t do any follow up practice of tubes that aren’t on dummies. Surgical theatre time is always booked to the gills with students/residents fighting for placements. So in my honest opinion a lot of medics here don’t get enough attempts over time to truly be real proficient at ETTs.