Videolaryngoscopy has improved first-attempt success in tracheal intubation and reduced complications, yet its use is not yet universal due to economic, logistical and educational barriers. A new consensus from the Spanish Society of Anaesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), the Latin American Federation of Emergency Medicine (FLAME) and the International Airway Group (IAG) presents twelve recommendations to support universal use