An automatic tracheotomy/cricothyrotomy device is disclosed herein. This device includes a hand-held apparatus having a box shaped center apparatus (box) with a removable attached handlebar (handlebar). The handlebar includes two handles and top and bottom center bars. The handlebar contains four receiver clips. The box contains clip locks that secure the box onto the handlebar. Additionally, the box contains a capacitance measuring system for locating specific portions of the trachea, a peel-off cover that exposes a cleansing pad and adhesive backed flange. The flange has ribbons for securing the tube in a patient's neck. The box also contains pressure and locator sensors with corresponding indicator lights/sounds. The center box also contains a mechanism for penetrating the tracheal cartilage or medial cricothyroid membrane while simultaneously inserting a tube member. The mechanism retracts the puncture obturator back into the box leaving the tube inserted. Securing ribbons are exposed then placed around a patient's neck.