Don't get too excited about the tracheotomy... My tender half is a doctor and worked in an ER for 5-6 years, never did a tracheotomy. One of her friends is also an anesthesiologist and never did a tracheotomy either. We see a lot of those in the movies, but very rarely they need to be performed... even less in a non-hospital, first-aid scenario.

Just my opinion. I wouldn't bother gearing-up for a tracheotomy for a first-aid kit. <img src="/images/graemlins/cool.gif" alt="" />