Inclusion Criteria:  Any patient in the age group of (5 - 80) and has Suspected difficult intubation. High mallampati score (class 111, 1V). Suspected cervical fracture. Maxillofacial trauma. Fracture base of the skull. Polytrauma.  Exclusion Criteria:  Patients with low mallampati score (class 1, 11). Patients undergoing elective surgeries and not suspected to have difficult intubations. Patients aged below 5 years and above 80 years.