this post was submitted on 14 Jun 2025
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As a civilian what I know is hit the notch in hard cartilege approx 2 fingers below the Adam's apple, incision half an inch deep, and if you get the tube in you have to breathe for them.
And that you should only do it if there are no medical people present and the person is obviously dying.
Nothing beats a layman explaining the job most professionals won't do to a professional who does it.
BTW: This is all wrong and will make things worse. Please don't do what this dude writes.
So... how do you tell an airway obstruction requiring an improvised tracheotomy and a similarly-presenting respiratory distress (resulting from, say, catastrophically low blood potassium) apart? Because if you get that wrong suddenly someone, who needed at worst an hour of IV therapy and a flintstone chewable to make a full recovery, is drowning in their own blood.
Thank you, this is the kind of reply I was hoping for. I would love more information.
So, if the person has completely stopped breathing, and ambulances are 20+ minutes away, should I limit my response to attempted CPR?
Is it your opinion even if they have been stung by a bee etc?
I'm assuming you've contacted 911 / emergency services since you know that the ambulance is 20 minutes away. In that case, the dispatcher will step you through an emergency diagnosis and if such an extreme action is warranted either they will put you in touch with a medical professional who can instruct you on safe procedure, or they will be a qualified paramedic and instruct you themselves. However that is EXTREMELY unlikely, tracheotomy are almost never warranted (outside of television) in emergency situations, as stabbing someone in the neck is not a trivial thing to do. In my region the procedure isn't even taught to first responders (Edit: I was half wrong, paramedics still learn it but EMTs do not) (Edit 2: No, I was right! Neither are taught it) as it's long been surpassed by modern intubation techniques and treatments like fast-acting anaphylaxis medications.
In short, follow the guidelines you are taught in your first aid class and contact emergency services. Don't stab someone in the neck.
The answer is: YES