The purpose of this study is to identify any differences in adherence to morphine administration protocols between two clinical levels of paramedics within one emergency medical system in Australia. Methods: The participants were made up of 63 Advanced Care Paramedics (ACPs) who were trained in basic and intermediate life support and 45 Intensive Care Paramedics (ICPs) who were trained in advanced lifesupport skills; all were operational and practicing paramedics qualified in morphine administration. Participants were required to complete a survey designed to assess their knowledge of morphine drug therapy protocol (DTP). The survey involved two sections: 1) demographics, and 2) questions related to two scenario-based cases. Scenario one was a cardiaccase and scenario two was a pediatric case.