Tracheostomies are highly prevalent, particularly in long-term skilled nursing facilities and intensive care units, and so all medical providers must master tracheostomy secretion management. Tracheostomy reduces cough strength, lowers subglottic pressure, and weakens sensations in the pharynx and larynx. This causes secretions to accumulate in the airway, although the volume and thickness of the secretions vary significantly from patient to patient. Medical professionals, first responders, and patients with tracheostomies must learn how to manage tracheostomy secretions to improve patient comfort and reduce the risk of infection, aspiration, and other compilations.