Adult SCRAM™
Adult SCRAM™: emergency airway preparation.
A structured airway bag and preparation system that brings equipment, medication and rescue options into a shared layout before the procedure begins.
I co-invented SCRAM™ with Neil Sinclair and have a commercial interest in the system. Development and supply details.
The clinical friction
Having the equipment is only part of being ready.
A team may have every item it needs and still spend time finding the right size, arranging equipment or checking what has already been prepared. When each clinician sets up differently, the person assisting has to learn that layout while also following the airway plan. Adult SCRAM™ addresses this preparation work by giving it a consistent physical structure.
The system
A shared layout for the airway plan and its rescue options.
SCRAM™ stands for Structured CRitical Airway Management. Adult SCRAM™ brings that approach into a portable system with a primary working field, a separate lid filing system and a removable surgical-airway panel.
The bag opens into a kit dump: an arranged working surface where the team can lay out and check equipment together. Keeping the primary equipment and reserve items in distinct areas allows the team to prepare for a change of plan without filling the working surface with everything it carries.
01 / 03 · Closed Adult SCRAM™ — compact, portable and ready for deployment.
- A primary field for equipment needed during the planned procedure.
- A lid filing system that keeps additional equipment organised and accessible.
- A weighted, removable panel for preparing a separate surgical-airway working field.
Design moves
How the layout supports preparation.
The three working areas have different jobs. Their arrangement is intended to make preparation easier to share and check, while keeping rescue equipment accessible if the clinical plan changes.
The primary working field
The high-contrast primary field places large-adult preparation on the left, small-adult preparation on the right and shared equipment through the centre.
This gives the person preparing and the person assisting the same reference points. They can see where equipment belongs and check the setup together before the procedure starts.
Secondary filing system and rescue landmarks
The grey filing system in the lid holds tubes, rescue devices, basic airway adjuncts and the surgical-airway pouch. These remain accessible without occupying the primary working field.
The filing tabs identify specific equipment: yellow marks the surgical-airway kit and blue marks the thoracostomy kit. The colours help the team locate the relevant section of the bag.
A separate surgical-airway working field
A weighted pull-out panel can overlay the primary kit dump or detach to form a second working field. It gives surgical-airway equipment its own preparation area.
The panel has two labelled sides: yellow for the Physician / MERT scalpel–finger–bougie configuration, and blue for the CMT surgical-airway kit. These are the panel configurations; the coloured filing tabs in the lid identify stored equipment.
Feature detail
The details that support everyday use.
A preparation system has to remain usable between cases. Teams need to know what belongs in it, how it is checked and how it is restored after use. Storage zones, a kit list and visible prompts give those routines a common starting point.
Local teams still determine their equipment, medication arrangements and clinical protocols. The design provides a layout around which those decisions can be taught, checked and maintained.
Structured storage zones
Dedicated areas support a reproducible layout for laryngoscopes, rescue devices, syringes, filters, airway adjuncts and procedural equipment.
Stencilled kit dump
A stencilled working layout supports efficient pre-stocking, visual checking and repeatable setup before the procedure is required.
Example kit list
An example Adult SCRAM™ kit list is available to support local stocking, checking and implementation discussions. Final contents should be agreed through local clinical governance.
Download the example Adult SCRAM™ kit list (PDF)Pull-out surgical airway kit dump
The panel can be placed over the primary kit dump or detached for a separately prepared surgical-airway field. Its weighting is intended to limit movement in exposed working conditions.
Grey filing system (bag lid)
The lid separates additional airway equipment from the primary field. Yellow and blue filing tabs identify the surgical-airway and thoracostomy kits respectively.
High-contrast indicators
Contrasting backgrounds and equipment landmarks make the working areas easier to distinguish.
Bougie storage
Dedicated bougie storage supports rapid access and protects equipment from being buried inside the bag.
Drug loops
Integrated loops support secure, visible preparation of emergency medication where local policy and governance allow.
Checklist pouch
A high-visibility pouch supports RSI checklists, local protocols or crew prompts without adding clutter to the working surface.
Barcode, RFID and NFC options
Identification options can support local stock control, audit and equipment management systems.
Lockable zips
Lockable zip sliders support tamper-evident systems where required by local governance.
Wipe-clean material
Adult SCRAM™ is made from wipe-clean, durable material designed for operational environments where portability, cleaning and repeated use matter.
How do I clean SCRAM™?Rx line compatibility
Where current product configuration supports it, the front attachment system can be used with compatible Rx line components for emergency anaesthesia drug organisation.
Watch the Fidlock system demonstration →Designed for pressure
The layout has to work when attention narrows.
When the airway plan changes, the team still needs to communicate, locate equipment and prepare the next working area. Adult SCRAM™ is designed to reduce how much of that organisation must be improvised during the procedure, with reserve equipment and a separate surgical-airway panel prepared as part of the initial setup.
01 / 02 · Physician / MERT configuration — surgical airway kit dump deployed for scalpel–finger–bougie technique.
See the system in action
Watch the design logic and product setup.
The films show the preparation approach and how the bag opens, is arranged and can be configured.
Ordering and origin
Development, supply and ordering.
I co-invented and designed SCRAM™ with Neil Sinclair. Openhouse Products manufactures and distributes the system, and The Resus Tailor provides a further distributor route.
Use the supplier links below for current pricing, availability and configuration details, including which components are supplied with your order.
The development and evidence behind SCRAM™. The SCRAM story explains the preparation problem, the design decisions and the research that informed the system.
Read the SCRAM Story →The clinical design origin of Adult SCRAM™.
Manufactures and distributes Adult SCRAM™ and the wider SCRAM™ range.
Visit Openhouse →
A distributor route for Adult SCRAM™ and other SCRAM™ products.
Visit The Resus Tailor →Disclosure: I co-invented SCRAM™ with Neil Sinclair and have a commercial interest in the system.
Explore the SCRAM range
Different products. The same design logic.
The SCRAM™ range applies the same principle across different clinical tasks: make preparation visible, reduce avoidable load and support the team before pressure peaks.