PC 7: SafeER PSA - Procedural sedation and analgesia for Emergency Physicians

Course Director

  • Christian Heringhaus (The Netherlands)


  • Linda Bel (The Netherlands)
  • Yannick Groutars (The Netherlands)
  • Harald Hennig (Germany)
  • Ruth Sneep (UK)
  • Rebekka Veugelers (The Netherlands)
  • Egon Zwets (The Netherlands)


The course is designed for 16 participants (Emergency Physicians).
Doctors who will follow the pre-course must be adequately trained in advanced life support and airway management skills.

Course description & learning objectives

Patients in the emergency department often need to undergo painful, distressing, or unpleasant diagnostic and therapeutic procedures as part of their acute care process.  Therefore Procedural Sedation and Analgesia (PSA) performed by emergency physicians is a necessary skill to reduce discomfort, apprehension, and potential unpleasant memories.

PSA is potentially associated with complications and must be seen as a high-risk procedure. Due to the inherent risks, it is important that doctors are aware of and follow available national, international and local guidelines.

PSA must only be performed under absolutely safe condition by health care providers who are trained in monitoring sedated patients and who are trained in recognizing and handling all possible adverse events to avoid complications.

Furthermore it is crucial that adequate training should be followed to ensure the knowledge and skills to safely administer PSA and to treat possible adverse events to avoid complications.

With the SAFE ER PSA course we will give the participants an overview over existing national and international guidelines, show them how to prepare the patient and the environment to perform safe PSA on the Accident and Emergency Department and how to treat the most common adverse events to avoid complications related to PSA.

After an introduction with some short presentations we will mainly train with simulated patients in hands-on workshops.


08.00 – 08.30 Welcome and introduction
08.30 – 09.00 Lecture: SafeER PSA -  The course
09.00 – 09.15 Lecture: PSA a continuum
09.15 – 09.50 Lecture: PSA – a routine procedure?
09.50 – 10.05 Lecture: Risk assessment and pre-sedation screening
10.05 – 10.20 Lecture: Airway
10.20 – 10.30 Lecture: Patient characteristics and positioning
10.30 – 11.00 Coffee Break
11.00 – 11.20 Lecture: Monitoring
11.20 – 12.30 Lecture: Pharmacology
12.30 – 13.30 Lunch
13.30 – 13.50 Table Top exercise
13.50 – 14.00 Demonstration
14.00 – 15.30 Sedation workshops
15.30 – 16.00 Break
16.00 – 17.30 Sedation workshops
17.30 – 18.00 Quiz