Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Emergency Medicine


Professor Dr. Nancy Reid, MHA, DHSc, PA-C


Acute pain is a presentation that can present frustrations to both the patient and the healthcare provider. The patient is understandably seeking alleviation of their symptoms, and the provider chose the career of practicing medicine with the intention of relieving suffering. A misguided attempt to improve pain control by adding pain as the "fifth vital sign" resulted in a dramatic increase in narcotic medication usage. Now, with the nation facing an opioid abuse and overdose crisis, there is increasing interest in alternative agents for the management of acute pain. This article will explore several evidence-based options for non-opioid options in emergency department acute pain management.


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