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A Survey of Experience of Parenteral Analgesia at Role 1
  1. Dr Colette Davey, GPStR c/o1,
  2. KE Mieville1,
  3. R Simpson2 and
  4. D Aldington, Defence Medical Services Pain Specialist3
  1. 1ST1 GPVTS, Frimley Park Hospital, Portsmouth Road, Frimley, Hampshire;
  2. 2Professor General Practice, RCDM, ICT Centre, Vincent Drive, Birmingham
  3. 3Department of Anaesthetics, Hampshire Hospitals NHS Foundation Trust, Royal Hampshire County Hospital, Winchester Hants
  1. Department of General Practice, Royal Centre of Defence Medicine, ICT Centre, Vincent Drive, Birmingham B15 2SQ 07825255219 colettedavey{at}


Objectives: To assess the confidence of deploying Role 1 Medical Officers (MOs)in the use of parenteral analgesia, to collate opinion as to whether analgesia training for Role 1 MOs is fit for purpose and to explore options for future analgesic approaches at Role 1.

Methods: A survey distributed to Role 1 doctors prior to deployment to Afghanistan.

Results: Areas of expressed concern included the use of ketamine and a lack of experience of intraosseous drug administration. Qualitative data collected included anecdotal experiences with analgesia administration which provides evidence to support a change in training.

Conclusions: Doctors have the capability to provide good analgesic care but lack the confidence and experience to do it effectively. Improved analgesia training is required for deploying Role 1 MOs.

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