How To Perform a Tracheotomy

By HOLLIE HARDY
The first thing you need to know is that the tracheotomy 
is an act of desperation and/or violence that should only be 
committed when there is no other option.

SOME CIRCUMSTANCES WHEN IT MIGHT BE NECESSARY TO PERFORM A TRACHEOTOMY:


The victim is choking on a thin mint
and is unresponsive to the “hind-lick” maneuver.
The victim is your lover and he/she has disappointed you
by eating the last Girl Scout cookie.
The victim wrote “Bitch” on the side of your car with a sharpie.
The victim has an irritating, high-pitched voice or a British accent.
The victim is a stranger that fell in front of a bus
wearing shoes you could never afford.

WHAT YOU WILL NEED:

A razor blade, knife, scissors, or hammer
A straw, a pen, or a stale Red Vine®

There will not be time for sterilization of your tools,
so do not bother; infection is the least of your worries.

HOW TO PROCEED:

1. Kneel over the victim and whisper,
  Do you know what you’ve done to deserve this?

2. Move your finger about one inch down the neck
until you feel a bulge.

3. Seize the tool of your choosing, and grasp it with both hands,
high above your head.

4. Aim for the bulge and be brave.

5. Insert the breathing straw into the bloody hole.

6. If you have done the procedure correctly,
you should be able to remove the victim’s shoes.

7. Run away.

 

Hollie Hardy is an MFA poet at San Francisco State University, former Editor-in-Chief of Fourteen HIlls: The SFSU Review, and co-host of the monthly reading series Saturday Night Special, an East Bay Open Mic, in Berkeley, California. Her recent work is published in Eleven Eleven, sParkle & bLINK, A Sharp Piece of Awesome, Parthenon West Review, One Ded Cow, Transfer, Milvia Street, and other journals. Hardy’s Survival Poems have titles ruthlessly appropriated from The Worst-Case Scenario Survival Handbook.

[Purchase your copy of Issue 02 here.]

From the beginning, The Common has brought you transportive writing and exciting new voices. We are committed to supporting writers and maintaining free, unrestricted access to our website, but we can’t do it without you. Become an integral part of our global community of readers and writers by donating today. No amount is too small. Thank you!

How To Perform a Tracheotomy

Related Posts

Book cover of Fifty Mothers

Mother is a Kind of Holding: Jenny Qi interviews Preeti Vangani

PREETI VANGANI
With vignettes, I could plumb its narrative arc to become a force propelling the book forward. It also felt haunting yet warm that the mothers kept reappearing throughout the life of this grief. That repetition created a chorus of voices that angers and despairs, yet cradles the speaker.

May 2026 Poetry Feature: Arielle Hebert, from Bottom Feeders

ARIELLE HEBERT
Home again at the water’s edge, / palms dancing in salt breeze. / I take a too-deep breath / and the air prickles my lungs / like an unfiltered cigarette. / Only the tourists are swimming, / coughing through the algal bloom, / eyes bloodshot and skin burning.

Portrait of Daniel Tobin in front of low trees

The Grave Fox

DANIEL TOBIN
No kindred of an earth, it must stalk alone, / or scavenge what the visitants leave behind. // or bird’s eggs, rabbits, the odd neighborhood / cat wandered over from some nearby home. / Its tail affects the lilt of a semaphore; its pelt // a finish of rust in sunlight.