The McGrath video-laryngoscope was used in a patient with immobilized cervical spine and suspected difficult airway after a high level fall with traumatic brain injury and suspected cervical spine trauma. The airway was successfully secured in the preclinical setting using an oral endotracheal tube with full view of the glottis. Because video-laryngoscopy offers potential advantages compared to established airway management techniques, further studies are required to evaluate the significance of video-laryngoscopy in prehospital emergency medicine.