Once the cricothyroid membrane is opened, the cut edges want to collapse inward and close off the tracheal lumen. Lose that opening and tube placement gets dramatically harder — and a misplaced tube costs the airway.
What holds the airway open while the other hand drives the tube?
The NAR Tracheal Hook gives a credentialed provider a dedicated point of retraction. It's built for one-handed operation — hold the opening clear with one hand while advancing the tube or bougie with the other — where a bulky OR-style hook would demand two hands or too much room. At 1 oz it adds nothing to the kit, and it's a standard component of both the NAR BAC-Pack and Tactical CricKit, also sold standalone for custom builds or replacement.
Why a Dedicated Hook
One-Handed Retraction
Built so a single hand holds the opening clear while the other advances the tube or bougie.
Maintains the Opening
Keeps the cut cricothyroid edges from collapsing inward and closing the tracheal lumen.
Field-Optimized
Compact where an OR-style hook is bulky or two-handed — built for rapid field deployment.
Kit-Standard Component
Ships in the NAR BAC-Pack and Tactical CricKit; available standalone as a replacement.
Provider Scope
A surgical airway is an advanced intervention reserved for credentialed providers operating within their scope of practice, training, and local protocol. This hook is a surgical instrument offered as equipment for qualified providers — it is not a substitute for formal surgical-airway training, and no procedural technique is provided here.
Who Carries It
Credentialed providers — surgical-airway capability within scope
Tactical & CASEVAC teams — field cricothyroidotomy capability
Kit builders — standalone instrument for custom cric kits
Complete the Airway System
The hook is one instrument in a surgical-airway sequence.
Tracheal Hook


Hold the Airway Open.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.

Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| Function | Maintains the cricothyroid opening during tube insertion |
| Design | One-handed operation, field-optimized |
| Weight | 1 oz |
| Compatibility | NAR BAC-Pack and Tactical CricKit |
| Included In | NAR BAC-Pack and Tactical CricKit |
| Use | Single instrument; component for surgical cricothyroidotomy |
Related searches: NAR tracheal hook, surgical cricothyroidotomy hook, tactical airway instrument, cric kit hook, BAC-Pack component, North American Rescue tracheal hook
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.