A rapid orotracheal intubation guide device is disclosed that facilitates orotracheal intubation or direct orotracheal visualization without resting the device on the subjects tongue and that, during a bronchoscopic intubation, automatically ejects the endotracheal tube from the device as the endotracheal tube is advanced coaxially over a bronchoscope previous placed through the guide, thereby providing a mid-line entry of the bronchoscope and endotracheal tube, higher intubation success rate by lower skilled operators, and easy removal of the device from the patients oral cavity.