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Background Procedural Sedation is a technique offered by critical care teams within Dorset and Somerset Air Ambulance Service. Sedation is an intentionally induced pharmacological depression of consciousness along a continuum from normal alertness to complete unresponsiveness to allow patient treatment. We conducted a service evaluation with the aim of understanding the patient’s experience of receiving procedural sedation from prehospital critical care teams.Method This service evaluation was conducted in Dorset and Somerset Air Ambulance Service. Patients who received procedural sedation during a 12-month period were followed up by the Dorset and Somerset Air Ambulance Service Patient Follow Up and Liaison team and invited to consent to participate in a qualitative survey assessing patient experience. A second survey, for the treating clinician, captured clinician’s experience of the sedation. Survey data was analysed via qualitative content analysis to understand the patient and clinician experience of the procedural sedation.Results Between January and December 2024 there were 73 procedural sedations conducted. A total of 31 (42%) consenting patients completed surveys, and their responses were linked to clinician surveys. Four cases were removed as they did not meet the inclusion criteria. An overall positive experience was reported by 20 (74%) patients and 7 (26%) patients felt it was negative. 100% of clinicians reported being satisfied with the sedation they delivered, but with 8 (29 %) clinicians also reporting that their patient displayed outward signs of distress. Patients reported an experience of feeling death and dissociation in 30% of cases, with 40% reporting feeling safe in the care of DSAA.Conclusions Patients undergoing procedural sedation are a vulnerable group, who have an unpredictable experience and recollection of events. Consideration and care should be given to the preconditioning of patients and particularly to the supportive emotional care and grounding of patients as the sedation wears off. Research is required to understand how to improve the patient experience of prehospital procedural sedation.