medical professional to remain at a distance from the patient the medical professional is afforded great protection from bodily fluids and airborne pathogens after finishing the procedure and insuring that the endotracheal tube is correctly fitted into the trachea the medical professional can remove the embodiment of the coupling structure from the endotracheal tube and throw it away since it is desired to keep sterile conditions during this procedure the medical professional can then seal the tube against the wall of the trachea by the method previously described attach a bag valve device to the adaptor on the exterior end of the endotracheal tube treat any other medical conditions present and start transporting the victim to a hospital if not already en route the present invention as illustrated by the above description of the preferred embodiment and the sample description of its use in the field clearly represents an advancement in the art of performing the nasal endotracheal intubation procedure the invention allows a medical professional the ability to move around the patient if need be while performing the procedure to keep a safe distance away from patients excreting bodily fluids and possible airborne pathogens thus protecting the medical professional from possible infection and provides a greater reception of the breathing sounds all of which are significant advantages over the ear to tube method since the preferred embodiment allows free breathing by a patient because of the gaseous communication between the atmosphere and the endotracheal tube the use of a remote suction device without having to unwedge a stethoscope cord from the endotracheal tube assuming that.