Post-tracheostomy brachiocephalic arterial injury (TABC) is a rare complication. We report the case of a 62-year-old patient ho required invasive ventilation through an orotracheal tube for asthma. He had suddenly showed a cataclysmic hemorrhage externalizing around the tracheal cannula with bright red blood. The exploration had revealed a breach of two centimeters at the level of the TABC. Ulceration of TABC after tracheostomy despite its rarity is a fatal complication that must be known by the resuscitators.