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.