I'm very aggressive with my airway managment. I usually go for the OPA and than the tube. NPAs are not really that popular out here. The only time I've seen them used was in the ER (once). I mean they are good and would like to see them used more often but our protocols put more pressure and favor oral devices. And you try to be uniform by doing what other guys are doing as well. Since I only know about benefits of NPAs from the book I dont really know any practical field benefits.

Matt