You're assuming that just any passing crewmember would have immediately performed a tracheotomy, but you don't have any actual reason to assume that.
Sure I do. Kirk's crew is made up of human beings. It would be inhuman, that is, wholly out of character for every single one of them
not to save the woman's life. There is no basis for assuming that they did not.
So you think that just because you watch Grey's Anatomy or M*A*S*H, that gives you surgical knowledge? I hope that if I ever need surgery, I'd have someone around who had real medical training, instead of someone who would just randomly "punch my face."
The thing is, punching your face would save you, while not doing so would kill you. Sure, inept first aid sometimes kills people. But in sufficiently many cases it does not - it's almost automatically better than nothing.
It's not a matter of medical knowledge in the slightest, really. It's a matter of being human. A human being would not stand aside or turn away. And there's no way for you to convince me that anybody - you, me, or a 23rd century astronaut - would fail to at least try and make a hole where there should be one.
We are talking about a science fiction show made in 1966.
And? The heroes and sidekicks are from the 23rd century. And people saved people by cutting open their throats thousands of years ago already.
The point is that the lizard didn't asphyxiate and die from lack of oxygen. It's one thing to restore a dead body to life; what about the brain damage due to the lack of oxygen?
That makes no sense - the lizard would have "brain damage" by default, by human standards.
And "body damage", of the worst kind.
We're still talking about the same scene, aren't we? Of a person getting her airways blocked in the very heart of a futuristic, high quality flying hospital (where brainless corpses get reanimated as a matter of course), amidst people who deal with the fantastically weird in a professional capability and have received military training of at least some sort. Were the poor woman
decapitated, I might give your approach the benefit of the doubt - McCoy would have to be personally relatively nearby to save the lass. The scenario as given isn't particularly scary in the end.
...That is, unless there are hidden variables. This could be Saw XXIII, with a seemingly simple and obvious life-saving task making things worse by sadistic design. But I very much doubt Charlie would have cared that much. He just hated the face and got rid of it.
Timo Saloniemi