A time-synchronized video imaging system includes an environmental camera that acquires environmental images of a patient while a video laryngoscope acquires airway images of the patient. A monitor receives the airway images from the video laryngoscope and the environmental images from the environmental camera. The monitor time-synchronizes the airway images and the environmental images to each other to generate a combined view video file of the time-synchronized airway images and environmental images to permit review of macro or environmental effects on a patient intubation.