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Procedural sedation at role 1: applicability to military clinicians and minimum monitoring criteria
  1. Matt Ellington1 and
  2. R J Booker2
  1. 1 Medical Officer, 254 Medical Regiment, Cambridge, UK
  2. 2 Senior Medical Officer, 3 Medical Regiment, Preston, UK
  1. Correspondence to Dr Matt Ellington, 254 Medical Regiment, Cambridge CB1 8HQ, UK; matt.ellington{at}


Procedural sedation is defined as producing a state of reduced consciousness, where the patient is still able to respond to verbal or physical stimulus and to continuously maintain a patent airway and adequate ventilation. This can be done to facilitate treatment that would not be otherwise possible. Recent evidence, guidelines and new equipment introductions have improved the safety of procedural sedation at UK role 1 medical treatment facilities (MTFs). A role 1 MTF is defined by the North Atlantic Treaty Organization as a medical facility focusing on the provision of primary healthcare, specialised first aid, triage, resuscitation and stabilisation, and is usually staffed by a general practitioner or a general duties medical officer. This paper aims to update role 1 clinicians on the current evidence base and guidance regarding monitoring of patients during procedural sedation.

  • accident & emergency medicine
  • anaesthetics
  • pain management
  • primary care
  • trauma management

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  • Contributors ME and RJB contributed equally and both reviewed the final article prior to submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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