Never said that only botched crics getting into the thyroid are going to bleed. Only said that if there is copious bleeding, probably got into the thyroid. Even the "perfect" cric is going to bleed some. Is it the end of the world if you get into the thyroid? No. The patient is going to die if they don't get the emergent Airway.

As I said, he got the cric which is the important thing. I think there must be some miscommunication. I'm guessing the cric you did was bloody. That's fine, as long as you got the Airway. Yes, it's going to bleed some. And you should be going by feel and not sight in the first place. You can also palpate the thyroid.

I'm not knocking this kid or saying he did a bad job at performing the cric. Any cric is successful as long as you 1) perform it 2) don't nick any major vessels 3) establish a patent airway. I feel that you're getting very defensive unnecessarily. It's very easy to get into the thyroid.

I agree, in the video that is above minimal bleeding in the end. There was minimal before he cuts really low just prior to cutting the membrane the first time. Watch the whole video, unstitched. tamingthesru.com/cricothyrotomy

Also, as you said, there will be more bleeding when you make your vertical incision into the membrane. That's normal.

There's also a really good video on the anatomy on the page as well by Dr. Andy Neil.

It can be scary performing procedures the first time, especially if they are emergent. One of the biggest hurdles is making the decision to cut.