In November 2010, JPP published a letter from Suzannah Sherlock, titled ‘The future of paramedic intubation: is it past?’ ( Sherlock, 2010 ). This was in response to an article from Mark Hodkinson, titled ‘The future of paramedic intubation: who should be responsible?’ ( Hodkinson, 2010 ). Mark responds to this below and reflects on a recent patient case that he encountered.