You rarly hear this term used to the face of an American in a real life situation because Americans are intimidating to faggy little euro-twats and southern hemisphere kangaroo fuckers.
Some take offence to the word for some reason...
E-engish person #2: Dats gr8 m8! I waz down at mc Donalds an i told dis mosha to get an aircut! den I add a wank in da baff-room.
E-American/ yank: What the fuck is wrong with your country?