Considering the fight against the pandemic of Covid-19, several skills have become essential for professionals working in emergency departments, including techniques for managing the airways and performing puncture cricothyroidotomy. The aim of the study was to translate, validate, and cross-culturally adapt a simulation guide for teaching the technical skill of puncture cricothyroidotomy. This is a methodological study, following the steps of translation, cross-cultural adaptation, and validation relevant to the method. The research produced a guide of simulated practice for teaching the skill of puncture cricothyroidotomy. It was concluded that the effectiveness of the realistic simulation methodology is aligned with the construction and validation of guides that lead to the practice in a standardized way, respecting all the steps of the method