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Aim  Worldwide, health‐care providers carry out procedural sedation and analgesia ( PSA ) in the emergency department. However, training opportunities are limited in many Asian countries, including Japan. We formed an educational group consisting of board‐certified emergency physicians in the  US A and Japanese physicians and developed a  PSA  training module. The aims of our study were to demonstrate the effectiveness of training and to describe  PSA  practice in Japan.    Methods  We undertook a pretest of  PSA  knowledge questions and a retest immediately after the training intervention. We also carried out a survey and asked about participants'  PSA  practice. The training module consisted of four didactic hours and three simulation and skills laboratory hours. Results of all pre‐ and post‐intervention knowledge questions were analyzed with McNemar's test, and overall scores were analyzed with a paired  t ‐test.    Results  One hundred and forty‐four health‐care providers including 123 physicians, 16 nurses, two pharmacists, and three medical students participated in the training. A total of 119 (83%) completed both the pre‐ and post‐intervention knowledge questions. Before the training, participants scored an average 66% (63%–69%) on the written knowledge test. After the intervention, participants showed significant improvement on the knowledge test (improvement 17%; 14%–20%). Among participants who answered the practice survey, 121 (88%) have undertaken  PSA . Only 14 (12%) participants always or often use a continuous capnography for  PSA . Only 32 (26.4%) participants undertook pre‐ PSA  systematic evaluation.    Conclusion  Our educational intervention successfully increased participants' knowledge. Only the minority of health‐care providers use capnography routinely for  PSA , and pre‐ PSA  evaluation is not commonly carried out.

A collaborative educational intervention on procedural sedation and analgesia across the Pacific