Establishing of an airway 2 (for paramedics, doctors). PART 2 The practical part is focused on the possibility of establishing an airway, to extend the competence of paramedics on knowledge of laryngeal masks, invasive techniques and equipment extension in emergency services vehicles. The last queries were directed at fast rides to patients and diagnosis that resulted in an airway establishment. In the survy were used quantitative research and interviewing techniques with anonymous questionnaire that included 22 questions. Data were collected during the period from February to March 2017. The research sample consisted of paramedics from South Moravia District. Total sample consisted of 70 (100%) of the respondents. The aim of the research is to determine what tools to secure the airway have paramedics available, whether it is worthwhile to expand their competencies if they have sufficient knowledge of the laryngeal mask if they have experience in securing the airways by invasive method and according to the results consider if regular training on this issue would not be needed. The research shows that the South-Moravian rescuers have in all cars the identical equipment to ensure the airway namely laryngeal masks, tools to perform tracheal intubation sets on coniopunction and tools used for coniotomy. In the research we found out that the rescuers would appreciate if the air ducts were returned to mandatory ambulance equipment Another objective was to determine whether rescuers are interested in expanding competencies. Result: paramedics are not interested in expanding their competencies. In fulfillment of the third objective,it was found that paramedics do not have enough knowledge to secure the airway laryngeal mask. The fourth goal was to find out if doctors have more experience in invasive methods than paramedics, which was confirmed. In the practical part, I compiled statistics on the most common indications and diagnoses with ensuring the airways in the years 2014, 2015 and 2016. Finally, there was the case report of a surgical airway securing by a paramedic, even though it was not within his competence. This chosen procedure has led to the rescue of human life.