“Simplify and Standardise Emergency Anaesthesia”


Rx SCRAM™ is an innovative emergency airway drug bag designed to simplify and standardise emergency anaesthesia.

The design of Rx SCRAM™ considers three important factors:

Firstly, there are two types of system that exist. There are systems that offer a pre-prepared or pre-filled setup, and systems that don’t, whereby clinicians need to draw up the drugs at the time or just prior to the intervention.

Secondly, wide variation exists in the types of drug “recipes” used for emergency anaesthesia1,2  whether within a hospital or in the pre-hospital environment and there are many reasons for this. Nevertheless, in emergency situations, a simple and standardised emergency anaesthesia protocol may improve the safety and effectiveness of the procedure. “A crucial component of developing a standardised protocol is the selection of induction agents”.2,3

Thirdly, reducing error through standardisation. “Medication errors are consistently the second highest type of errors reported in anaesthetic practice”.4 Human error is an important problem in health care, contributing to a high instance of preventable medication errors.5-9 Preparing drugs is a time-consuming process, requiring precision. Carrying out this critical task, while at the same time treating a critically injured patient in an uncontrolled pre-hospital environment or remote part of a hospital, is far from desirable and inherently prone to error.4-10

|“Prevent drug error during emergency anaesthesia. Simplify & Standardise”

 In a systematic review of drug administration error prevention during anaesthesia, Jensen et al. recommends “drugs should be presented in pre-filled syringes (where possible) rather than ampoules (either for emergency drugs or in general)” .11 This is also supported by the Anaesthesia Patient Safety Foundation as part of a “new paradigm” to reduce the number of drug-related errors and improve patient safety.12 However, there are various reasons why some systems are not able to provide pre-filled syringes.13,14 

We acknowledge this variation and have incorporated it into the design of Rx SCRAM™. Its customisable qualities cater for this difference, enabling Rx SCRAM™ to grow with the system if in the future it decides to move towards a pre-filled setup for emergency anaesthesia.

Rx SCRAM™ focuses on the classification of drug needed to perform emergency anaesthesia, providing a platform to simplify and standardise the intervention.

|“Leverage RFID and NFC technologies to further improve patient’s safety during emergency anaesthesia.

Tactical Rx SCRAM™

Tactical Rx has all the features of Rx SCRAM™. The only difference is the exterior colour. Tactical green and black which can be seen in the image below.


Crash Rx the lite version of the Rx SCRAM™ line an innovative emergency airway drug bag designed to simplify and standardise emergency anaesthesia. It focuses on the classification of drug needed to perform emergency anaesthesia, providing a platform to simplify and standardise the intervention. Designed and developed by Professor Scott Weingart and Paul Swinton.

|“SCRAM™ seamlessly integrates into any airway management strategy”

What is the Fidlock System?


  • Platform to simplify and standardise emergency anaesthesia
  • Fidlock System -Magnetic Mechanical Connection
  • Compact (22cm x 14.5cm x 10.5cm)
  • Customisable – integrated cord lock system
  • Reduce cognitive load
  • Drug classification
  • Clearly identifies drugs
  • Promoting best practice labelling syringes
  • Correct size syringe & ampule can be co located
  • Audit and Identification
  • RFID / NFC pocket (* tag not included)
  • Unique barcode
  • Visible expiry date window
  • Sealable zip
  • Oversized zip puller – easy to use with gloves
  • White board and place for Marker pen (Rx & Tactical Rx only)
  • All you need in one place
  • Pre-filled syringes / Ampules/ Vials or a mixture of both
  • Consumables – needles, syringes, alcohol wipes and drugs labels
  • Weatherproof – portable and easy to use
  • Wipe clean – micrAgard™

Prevent Cross-Contamination

|“Wipe Down”

SCRAM™ is made from micrAgard™ wipe clean durable anti-bacterial, anti-microbial material. This along with the durable anti-microbial webbing and the anti-microbial hook and loop help to prevent cross-contamination.


  1. Lossius HM, Sollid SJ, Rehn M, Lockey DJ. Revisiting the value of pre-hospital tracheal intubation: an all time systematic literature review extracting the Utstein airway core variables. Crit Care. 2011;15:R26
  2. Significant Lyon RM, Perkins ZB, Chatterjee D, Lockey DJ, Russell MQ. Significant modification of traditional rapid sequence induction improves safety and effectiveness of pre-hospital trauma anaesthesia. Critical Care. 2015 Dec;19(1):134.
  3. Grigg EB, Martin LD, Ross FJ, et al. Assessing the impact of the anaesthesia medication template on medication errors during anaesthesia: a prospective study. Anaesth Analg 2017;124:1617e25.
  4. Royal College of Anaesthetists.Chapter 5: Guidelines for the Provision of Emergency Anaesthesia Services 2019. Online; 2020. https://www.rcoa.ac.uk/gpas/chapter-5#ref-82 Accessed 18 Jan 2020.
  5. Swinton P, Corfield AR, Moultrie C, Percival D, Proctor J, Sinclair N, Perkins ZB. Impact of drug and equipment preparation on pre-hospital emergency Anaesthesia (PHEA) procedural time, error rate and cognitive load. Scandinavian journal of trauma, resuscitation and emergency medicine. 2018 Dec;26(1):82.
  6. Glavin R. Drug errors: consequences, mechanisms, and avoidance. Br J Anaesth. 2010;105:76–82.
  7. Stelfox HT, Palmisani S, Scurlock C, Orav EJ, Bates DW. The “to err is human” report and the patient safety literature. BMJ Quality and Safety in Health Care. 2006;15:174–8.
  8. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard medical practice study I. N Engl J Med. 1991;324:370–6.
  9. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients: results of the Harvard medical practice study II. N Engl J Med. 1991;324:377–84.
  10. Cook T, Woodall N, Frerk CO. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106:617–31. doi: 10.1093/bja/aer0582.
  11. Jensen LS, Merry AF, Webster CS, Weller J, Larsson L. Evidence-based strategies for preventing drug administration errors during anaesthesia. Anaesthesia. 2004;59:493–4.
  12. Anesthesia Patient Safety Foundation. Medication safety in the operating room: time for a new paradigm online; 2015. https://www.apsf.org/videos/medication-safety-video/ Accessed 18 Jan 2020
  13. Litman RS. How to prevent medication errors in the operating room? Take away the human factor. British journal of anaesthesia. 2018 Mar 1;120(3):438-40.
  14. Makwana S, Basu B, Makasana Y, Dharamsi A. Prefilled syringes: an innovation in parenteral packaging. Int J Pharm Investig 2011;1:200e6.



    |“SCRAM™ seamlessly integrates into any airway management strategy”

    OpenHouse Products -
    Manufacture and Distributor

    Openhouse products are the manufactures SCRAM™ work with Scottish Health Innovations Ltd. (SHIL) and the inventors to bring you SCRAM™. Openhouse of have a reputation for high quality craftsmanship with 30 years experience manufacturing bespoke textile products for medical teams around the world.

    The Resus Tailor -
    USA Distributor

    The Resuscitation Tailor is the US distributor for SCRAM™ and the full range of Openhouse Products including, standard line, and bespoke options.