The SCRAM™ System is a structured, reproducible approach to airway management, standardising, and optimally organising equipment and drugs prior to the procedure being required. The SCRAM™ System becomes a meaningful cognitive offloading tool, and facilitates airway planning by reducing the time to intervention, reducing error, standardising practice and promoting good governance.1 This is of particular importance now during the Covid-19 pandemic with increased cognitive demands of managing oneself, the team, the environment, the associated risks of error and time to intervention.