crapping rainbows in your brain

From the wikipedia entry on tracheotomy

How a tracheotomy is performed

1. Curvilinear skin incision along relaxed skin tension lines (RSTL) between sternal notch and cricoid cartilage
2. Midline vertical incision dividing strap muscles
3. Division of thyroid isthmus between ligatures
4. Elevation of cricoid with cricoid hook
5. Placement of tracheal incision. An inferior based flap or Bjork flap (through second and third tracheal rings) is commonly used. The flap is then sutured to the inferior skin margin Alternatives include a vertical tracheal incision (pediatric) or excision of an ellipse of anterior tracheal wall.
6. Insert tracheostomy tube (with concomitant withdrawal of endotracheal tube), inflate cuff, secure with tape around neck or stay sutures.
7. Connect ventilator tubing

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Just in case, you know, you're ever in an accident and happen to have surgery tools and either a knowledge of human anatomy, or a medical anatomy book. (Gray's, perhaps?) I shall bookmark this Gray's, looks like some good reading! :) )

( Image below taken from said book... )