Abstract: A self contained, emergency airway surgical device is disclosed having a cutting device with a cannula disposed therein. The cutting device has a pair of pivotally attached arms forming a channel therein for containing the cannula with horizontal blades at the end of the arms. The cannula has a blunt downward facing surface on the posterior portion for engaging the posterior lumen of the trachea. A centering rod is slidably coupled to the cannula and is adapted to engage the anterior surface of the lumen of the trachea while the posterior blunt surface of the cannula engages the posterior surface of the lumen thereof to secure the cannula in position therein. The cannula is adapted to receive a tracheal tube for positive ventilation of the lungs.