 The Rapid Airway Management Positioner RAMP is designed to optimize visualization during direct laryngoscopy by placing the patient into the proper head-elevated laryngoscopy position HELP. In morbidly obese patients, achieving this position is important,12 and requires a great deal of support under the head and shoulders that could not be performed singlehandedly.13 The RAMP is an easy-to-use, quick device, taking an average of 56 seconds to place and inflate.14 