We recently discovered a written thesis entitled “”The Impact of Drug and Equipment Preparation on Pre-Hospital Emergency Anaesthesia (PHEA) Procedural Time, Error Rate and Cognitive Load.””  To write this, the authors examined the effect of advanced preparation and organisation of equipment and drugs during PHEA, in addition to tracheal intubation on procedural time, error rates and cognitive load.

“Pre-preparation of PHEA drugs, and to a lesser extent the pre-preparation and organisation of PHEA equipment, significantly reduced procedural time and has the potential to reduce on-scene time substantially. In addition, pre-preparation of equipment and drugs resulted in safer performance of PHEA and reduced the cognitive load of the PHEA assistant.”

In the thesis, a picture of the Adult SCRAM Bag was featured; the SCRAM Bag is the ideal solution for reducing protocol time and cognitive load.  The bag provides a structured approach to airway management in emergency situations where getting it right first time is important.  The bag has an integrated kit dump which is removable so it can be prepared when the bag is stocked.  The stencils of where each piece of equipment should be offer a high end system of organisation and allows easy access to all equipment when needed.

 

[vc_single_image image=”20897″ img_size=”full”] To develop this bag we have worked with SHIL, who supported the development of the SCRAM (Structured Critical Airway Management) System, which is a structured and reproducible approach to airway management from Paul Swinton and Neil Sinclair.  The SCRAM System has had immense success in the UK and in Australia, in use with air ambulance teams, trauma teams and emergency departments.  Due to this, the product has gone under further refinement and development to create a new and improved model of the system; the SCRAM 2.0.

Many features that have proved successful have made a comeback with this new edition such as the stencilled kit dump to enable optimal organisation during stocking, weatherproofing, and the ability to have all equipment and consumables readily available.

The SCRAM 2.0 also brings an array of new features; the new weighted surgical kit dump which provides a “clean slate” to work off and its colour indicates a change in approach.  It can be set up overlaying the original and removed from the hook and loop attachment.  The new SCRAM 2.0 also includes gross motor indicators, which signpost the location of the relevant equipment and assist in reducing cognitive load. High contrast colours draw attention to the “working kit dump” and drug storage loops hold drugs ready for an emergency situation. A checklist pouch has now been added, along with secure storage and lockable zip sliders.[vc_gallery interval=”3″ images=”20567,20568,20569,20570,20573,20574,20572″ img_size=”full”] For more information on the SCRAM Bag, please see:

• Our website
• SHIL’S website