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There is more than one kind of handicap. Some injuries cause lack of breathing ability, in which case a tracheotomy can be required. But for handicaps that don't involve the ability to breathe there's no need for a tracheotomy.

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Q: Do handicapped need a tracheotomy
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When should a tracheotomy be performed?

When you are choking and the hime-leck maneuver fails you need a Tracheotomy performed


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