【Abstract】 Background Recent discoveries surrounding the physiology of cardiac arrest have turned the ABC mnemonic around. Objective This review will focus on issues regarding airway management in patients with cardiac Arrest. Contents The main contents include the paradigm shifts in emergency airway management, airway management methods, ventilatory management strategies, etc. It is specially emphasized that the initial goal of emergency airway management is the provision of effective ventilation, and can be achieved with a bag-valve-mask or supraglottic airway device in the first few minutes of resuscitation. The deployment of an advanced airway should be deferred until the completion of 3 chest compression cycles. Furthermore, the goals of ventilator support of the resuscitated patients include the need to use the lowest possible PEEP while carefully titrating inspiratory oxygen concernation to avoid hyperoxia. Tend Paradigm shifts by the understanding of cardiac arrest physiology have resulted in changes to overall management strategies of the resuscitated patients. It is hopeful that these changes would improve the outcomes of patients resuscitated from cardiac arrest.