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This video demonstrates the proper technique for a surgical cricothyroidotomy using the bougie aided open surgical technique. This video covers the following topics: -How to unpack and prepare equipment -How to inflate the cuff and check for leaks -How to use the head tilt / chin lift method to visualize the larynx -How to palpate the cricothyroid membrane -How to prep and stabilize the site for insertion -How to make the skin incision and cut the cricothyroid membrane -How to place the trach hook and insert the bougie -How to slide the tube into the airway -How to remove the bougie and inflate the cuff -How to secure the device in place -How to assess patient after insertion Always find the latest TCCC at www.deployedmedicine.com or download the "Deployed Medicine" app on your smart phone or tablet. The Joint Trauma System (JTS) is focused on the standard of care for prehospital battlefield medicine. The JTS is a Department of Defense, Center of Excellence for Trauma providing clinical practice guidelines and performance improvement for all levels of military trauma care. The Committee on Tactical Combat Casualty Care (CoTCCC) is a committee of representatives from across the Army. Navy, Air Force and Marines positioned under the JTS that establishes clinical practice guidelines for the delivery of tactical combat casualty care (TCCC) on the battlefield. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. For more information, please visit https://creativecommons.org/.