Acute Pain & Procedural Sedation — Part 1: Pain Assessment & Non-Opioid Analgesics

Pain assessment scales (NRS, VAS, FACES, FLACC, PAINAD), oligoanalgesia prevention, and first-line non-opioid analgesics including acetaminophen, NSAIDs, subdissociative ketamine, IV lidocaine, trigger point injections, and nitrous oxide.

guidelinesMar 2026guidelines

1. Pain Assessment in the Emergency Department

Pain is the most common reason patients present to the emergency department, with estimates ranging from 60% to 78% of all ED visits involving a pain complaint. Accurate, timely, and repeated pain assessment is the foundation upon which all analgesic decision-making rests. Failure to assess pain consistently leads to oligoanalgesia — one of the most well-documented quality gaps in emergency medicine.1 2 3

1.1 Principles of ED Pain Assessment

Pain is a subjective experience, and the patient’s self-report is the most reliable indicator of pain intensity. Assessment should occur:

  • At triage (initial assessment)
  • Within 30 minutes of arrival or sooner for severe pain
  • After each analgesic intervention (30 minutes post-IV, 60 minutes post-PO)
  • At reassessment intervals (typically every 1–2 hours for admitted patients)
  • At discharge (to establish a baseline for outpatient management)

Clinicians should assess four dimensions of pain: location, quality (sharp, dull, burning, cramping), intensity (using validated scales), and temporal pattern (constant, intermittent, worsening, improving).

1.2 Pain Assessment Scales

The choice of pain assessment tool depends on the patient’s age, cognitive status, developmental level, and ability to communicate. The following table summarizes the validated scales recommended for ED use:1 3 4

ScalePopulationRangeMethodKey Points
Numeric Rating Scale (NRS)Adults and children ≥8 years0–10Patient selects a number: 0 = no pain, 10 = worst pain imaginableMost widely used in the ED; validated across many pain conditions; clinically significant change is ≥1.3 points (some studies suggest ≥2.0)
Visual Analog Scale (VAS)Adults and children ≥8 years0–100 mmPatient marks a point on a 100-mm line anchored by “no pain” and “worst pain imaginable”More sensitive to small changes than NRS; requires a printed or digital tool; minimum clinically significant difference is 13 mm
Wong-Baker FACES Pain Rating ScaleChildren 3–8 years; adults with limited numeracy or language barriers0–10 (6 faces)Patient selects the face that best represents their painEach face corresponds to 0, 2, 4, 6, 8, or 10; validated in pediatric and cross-cultural populations; can be used in adults with cognitive impairment
FLACC ScaleInfants and children <3 years; nonverbal patients0–10Observer rates 5 categories: Face, Legs, Activity, Cry, Consolability (each 0–2)Behavioral observation scale; does not require patient self-report; validated in preverbal children and cognitively impaired adults
PAINAD ScalePatients with dementia or severe cognitive impairment0–10Observer rates 5 categories: Breathing, Negative Vocalization, Facial Expression, Body Language, Consolability (each 0–2)Specifically validated for patients who cannot self-report due to dementia; correlates with other validated scales
CRIES ScaleNeonates (0–6 months)0–10Observer rates: Crying, Requires O2, Increased vital signs, Expression, Sleeplessness (each 0–2)Designed for neonatal postoperative pain; useful in neonatal ED patients

1.2.1 FLACC Scale Detailed Scoring

Category012
FaceNo particular expression or smileOccasional grimace or frown; withdrawn, disinterestedFrequent to constant frown, clenched jaw, quivering chin
LegsNormal position or relaxedUneasy, restless, tenseKicking or legs drawn up
ActivityLying quietly, normal position, moves easilySquirming, shifting back and forth, tenseArched, rigid, or jerking
CryNo cry (awake or asleep)Moans or whimpers; occasional complaintCrying steadily, screams or sobs; frequent complaints
ConsolabilityContent, relaxedReassured by occasional touching, hugging, or being talked to; distractibleDifficult to console or comfort

1.2.2 PAINAD Scale Detailed Scoring

Category012
Breathing (independent of vocalization)NormalOccasional labored breathing; short period of hyperventilationNoisy labored breathing; long period of hyperventilation; Cheyne-Stokes respirations
Negative vocalizationNoneOccasional moan or groan; low-level speech with negative or disapproving qualityRepeated troubled calling out; loud moaning or groaning; crying
Facial expressionSmiling or inexpressiveSad; frightened; frownFacial grimacing
Body languageRelaxedTense; distressed pacing; fidgetingRigid; fists clenched; knees pulled up; pulling or pushing away; striking out
ConsolabilityNo need to consoleDistracted or reassured by voice or touchUnable to console, distract, or reassure

1.3 Pain Severity Classification

SeverityNRS ScoreClinical Implication
Mild1–3Non-opioid analgesics typically adequate; consider non-pharmacologic interventions
Moderate4–6Multimodal approach recommended; non-opioids ± low-dose opioids or adjuvants
Severe7–10Aggressive multimodal analgesia; parenteral analgesics often required; reassess frequently

1.4 Oligoanalgesia: Recognition and Prevention

Oligoanalgesia (the undertreatment of pain) is a systemic problem in emergency departments worldwide. Key findings from the literature:1 2 5

  • Prevalence: 40–60% of ED patients with moderate-to-severe pain do not receive adequate analgesia
  • Time to analgesia: Median time from ED arrival to first analgesic administration ranges from 58 to 90 minutes in many systems
  • Disparities: Oligoanalgesia disproportionately affects elderly patients, pediatric patients, non-English-speaking patients, patients of minority racial and ethnic groups, and patients with cognitive impairment
  • Contributing factors: Overcrowding, provider knowledge gaps, opiophobia (excessive fear of opioid use for acute pain), lack of reassessment, inadequate pain assessment documentation

Strategies to reduce oligoanalgesia:

StrategyImplementation
Triage-initiated analgesia protocolsNurse-initiated protocols allowing administration of acetaminophen, ibuprofen, or topical anesthetics at triage before physician evaluation
Standing analgesic ordersPre-approved order sets for common pain presentations (e.g., fractures, renal colic)
Pain reassessment mandatesInstitutional policy requiring documented reassessment within 30–60 minutes of analgesic administration
Multimodal default approachDefaulting to non-opioid first-line therapies reduces barriers to initiating analgesia
Education and feedbackRegular provider education on pain management; real-time feedback on time-to-analgesia metrics
Regional anesthesia programsED-based nerve block programs reduce reliance on systemic analgesics and improve pain control

1.5 Assessment Documentation Requirements

Accreditation standards mandate comprehensive pain assessment documentation. The required elements include:3

  • Pain screening using a validated tool appropriate to the patient population
  • Pain intensity score recorded at each assessment
  • Pain location and quality documented in the medical record
  • Functional assessment: how pain affects the patient’s ability to function (move, breathe deeply, sleep)
  • Reassessment after intervention with documented response to treatment
  • Patient education about pain management plan, expectations, and safe medication use
  • Individualized pain management plan that considers the patient’s goals, values, and preferences
  • Documentation of any barriers to pain assessment (language, cognition, developmental level)

2. Non-Opioid Analgesics: The First-Line Approach

The contemporary approach to ED pain management prioritizes non-opioid, multimodal analgesia as the first-line strategy for most acute pain presentations. Multimodal analgesia targets multiple pain pathways simultaneously — peripheral nociception, central sensitization, inflammation, and descending modulation — producing additive or synergistic analgesic effects while minimizing the adverse effects of any single agent. Evidence consistently demonstrates that multimodal approaches reduce opioid requirements, improve pain scores, decrease adverse events, and shorten ED length of stay.6 7 8

2.1 Acetaminophen (Paracetamol)

Acetaminophen is one of the most widely used analgesics worldwide and remains a cornerstone of multimodal ED analgesia. Its mechanism involves central COX inhibition, serotonergic pathway modulation, and possible cannabinoid receptor activity. It provides effective analgesia for mild-to-moderate pain and has an opioid-sparing effect when used as part of a multimodal regimen.6 9

2.1.1 Acetaminophen Dosing Table

RoutePopulationDoseFrequencyMaximum Daily DoseNotes
POAdults (≥50 kg)650–1000 mgEvery 4–6 hours3000 mg (healthy); 2000 mg (hepatic impairment, chronic alcohol use)Onset 30–60 min; peak 1–2 hours
POPediatric (≥2 years)10–15 mg/kgEvery 4–6 hours75 mg/kg/day (max 4000 mg)Liquid formulations available (160 mg/5 mL)
PRAdults650–1000 mgEvery 4–6 hours3000 mgErratic absorption; reserve for patients who cannot take PO or IV
PRPediatric10–20 mg/kgEvery 4–6 hours75 mg/kg/dayHigher initial dose (20 mg/kg) may be given as loading dose
IVAdults (≥50 kg)1000 mgEvery 6 hours4000 mg (3000 mg if hepatic impairment)Infuse over 15 minutes; onset 5–10 min; peak ~1 hour; faster onset than PO but similar efficacy at 1 hour
IVAdults (<50 kg)15 mg/kgEvery 6 hours75 mg/kg/day (max 3750 mg)Weight-based dosing for patients <50 kg
IVPediatric (≥2 years, ≥33 kg)15 mg/kg (max 750 mg)Every 6 hours75 mg/kg/day (max 3750 mg)Infuse over 15 minutes
IVPediatric (≥2 years, <33 kg)12.5 mg/kgEvery 4–6 hours75 mg/kg/dayUse caution with dosing calculations
IVNeonates/Infants (<2 years)7.5–12.5 mg/kgEvery 6 hours37.5–50 mg/kg/dayReduced clearance in neonates; dose conservatively

2.1.2 Hepatic Considerations and Contraindications

ConsiderationDetail
Hepatic impairmentReduce maximum daily dose to 2000 mg PO or 2000 mg IV; avoid in severe hepatic failure (Child-Pugh C)
Chronic alcohol useMaximum 2000 mg/day; risk of hepatotoxicity increases with CYP2E1 induction
Acute overdoseN-acetylcysteine (NAC) protocol for serum levels above Rumack-Matthew nomogram line; dose-dependent hepatotoxicity above 150 mg/kg single ingestion
Malnutrition/fastingDepleted glutathione stores increase susceptibility to hepatotoxicity at therapeutic doses
Drug interactionsWarfarin: INR may increase with regular use >2 g/day; monitor closely
G6PD deficiencyGenerally safe at standard doses; high doses may theoretically increase oxidative stress

2.2 Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs inhibit cyclooxygenase (COX-1 and COX-2) enzymes, reducing prostaglandin synthesis and thereby decreasing inflammation, pain, and fever. They are among the most effective analgesics for musculoskeletal pain, renal colic, headache, and dental pain. In the ED, NSAIDs are a critical component of multimodal analgesia and in many conditions are equivalent or superior to opioids for pain control.6 7 10

2.2.1 NSAID Dosing Table

DrugRouteAdult DosePediatric DoseFrequencyMax Daily Dose (Adult)OnsetDuration
IbuprofenPO200–800 mg5–10 mg/kgEvery 6–8 hours3200 mg (2400 mg for chronic use)30–60 min4–6 hours
KetorolacIV/IM15–30 mg IV; 30–60 mg IM0.5 mg/kg IV/IM (max 15 mg)Every 6 hours120 mg (day 1); ≤5 days total10–30 min (IV); 30–60 min (IM)4–6 hours
KetorolacPO10 mgNot routinely recommended PO in pediatricsEvery 4–6 hours40 mg; ≤5 days total (combined routes)30–60 min4–6 hours
KetorolacIN (nasal spray)15.75 mg per nostril (31.5 mg total)Not approvedEvery 6–8 hours126 mg; ≤5 days total20–30 min4–6 hours
NaproxenPO250–500 mg5–7 mg/kgEvery 8–12 hours1250 mg (day 1); 1000 mg (thereafter)30–60 min8–12 hours
DiclofenacPO50 mgNot routinely usedEvery 8 hours150 mg30–60 min6–8 hours
DiclofenacIV37.5 mg in 100 mL NSNot recommendedEvery 6 hours150 mg; ≤2 days IV15–30 min6–8 hours
DiclofenacTopical (gel 1%)Apply 4 g to affected areaAge ≥6 years per areaEvery 6–8 hours32 g per joint per dayVariable4–6 hours
MeloxicamPO7.5–15 mg0.125 mg/kg (limited data)Once daily15 mg1–2 hours24 hours
CelecoxibPO200–400 mg initial, then 200 mgLimited pediatric useEvery 12–24 hours400 mg1–3 hours12–24 hours

2.2.2 Ketorolac Evidence and Practical Considerations

Ketorolac deserves special emphasis as the most commonly used parenteral NSAID in the ED:7 10

  • Low-dose equivalence: 10 mg IV ketorolac has been shown in multiple randomized trials to provide equivalent analgesia to 15 mg and 30 mg IV doses, with significantly fewer adverse effects. Low-dose (10–15 mg IV) ketorolac is now recommended as the default in many ED protocols.
  • Renal colic: Ketorolac is first-line for renal colic, with efficacy equivalent to or exceeding parenteral opioids, and with fewer adverse effects (less nausea, no respiratory depression, no sedation)
  • Duration limit: Maximum 5 days of use across all routes combined due to increased risk of GI bleeding, renal injury, and cardiovascular events with prolonged use
  • IM vs. IV: IV administration provides faster onset and more predictable pharmacokinetics; IM injection is painful and offers no efficacy advantage

2.2.3 NSAID Contraindications and Cautions

Contraindication/CautionDetail
Active GI bleeding or peptic ulcer diseaseAbsolute contraindication; COX-1 inhibition reduces mucosal prostaglandin protection
Chronic kidney disease (eGFR <30)Contraindicated; NSAIDs reduce renal prostaglandin-mediated afferent arteriolar vasodilation, precipitating acute-on-chronic kidney injury
Acute kidney injuryAvoid; may worsen renal perfusion
Dehydration/hypovolemiaIncreased risk of AKI; ensure adequate hydration before NSAID administration
Heart failure (NYHA III–IV)Contraindicated; sodium and water retention, increased afterload
Third trimester pregnancyContraindicated; risk of premature closure of ductus arteriosus
Aspirin-exacerbated respiratory diseaseContraindicated; cross-reactivity with all non-selective NSAIDs
Coagulopathy or concurrent anticoagulationUse with caution; platelet inhibition increases bleeding risk (ketorolac particularly; celecoxib has less platelet effect)
Post-CABGContraindicated per FDA black box warning
Elderly (≥65 years)Use lower doses (ketorolac 15 mg IV max); increased GI, renal, and cardiovascular risk
Neonates and infantsGenerally avoided; limited safety data

2.3 Subdissociative-Dose Ketamine (SDK)

Ketamine is a phencyclidine derivative that acts primarily as a non-competitive NMDA receptor antagonist. At subdissociative doses (approximately one-tenth of dissociative doses), ketamine provides significant analgesia by blocking central sensitization and wind-up phenomena without producing dissociation, significant hemodynamic changes, or respiratory depression. SDK has emerged as a powerful non-opioid analgesic option in the ED, supported by a growing body of randomized controlled trials and systematic reviews.7 8 11 12

2.3.1 Subdissociative Ketamine Dosing

RouteDoseAdministrationOnsetDurationKey Considerations
IV push0.1–0.3 mg/kgAdminister over 10–15 minutes (short infusion preferred to reduce dysphoria)1–2 min15–30 minRapid IV push increases risk of dysphoria, nystagmus, dizziness; always administer slowly or as short infusion
IV infusion0.1–0.3 mg/kg in 100 mL NSInfuse over 15–30 minutes5–10 min30–60 minPreferred method; lower incidence of emergence phenomena and dysphoria compared with IV push
Intranasal (IN)0.5–1 mg/kgVia mucosal atomization device (MAD); divide dose between nares; max 1 mL per nostril5–10 min30–60 minBioavailability ~45%; use concentrated preparation (100 mg/mL); painless administration; excellent for pediatric patients
IM0.5–1 mg/kgStandard IM injection5–15 min30–60 minReserve for patients without IV access; higher incidence of dysphoria
Nebulized0.75–1 mg/kg in 3 mL NSVia standard nebulizer5–15 min20–40 minEmerging route; limited data but promising for needle-averse patients

2.3.2 SDK Evidence Summary

Study/ReviewKey Finding
Motov et al. (2015) RCTSDK 0.3 mg/kg IV equivalent to morphine 0.1 mg/kg IV for acute pain in the ED; fewer serious adverse events in the ketamine group
Beaudoin et al. (2014) RCTSDK 0.15–0.3 mg/kg IV produced significant pain reduction at 5 and 30 minutes; dose-response relationship identified
Sin et al. (2017) systematic reviewSDK provides clinically significant pain reduction in the ED; adverse effects (dizziness, dysphoria, nausea) are generally mild and self-limited
Balzer et al. (2021) meta-analysisSDK non-inferior to opioids for ED acute pain; opioid-sparing effect when used as adjunct
Shimonovich et al. (2016) RCTIN ketamine (1 mg/kg) equivalent to IN fentanyl for pediatric extremity injuries

2.3.3 SDK Adverse Effects and Management

Adverse EffectIncidenceManagement
Dizziness/lightheadedness30–50%Self-limited (5–15 min); reassurance; slow infusion rate reduces incidence
Nausea10–20%Ondansetron 4 mg IV if needed; typically mild
Dysphoria/feeling of unreality10–30%More common with rapid IV push; slow infusion reduces incidence; midazolam 1–2 mg IV if severe
Nystagmus10–30%Benign; self-limited
Elevated blood pressure5–15%Mild sympathomimetic effect; rarely clinically significant at analgesic doses
Emergence phenomena<5% at SDK dosesDistinguish from dissociative doses where incidence is higher; benign at analgesic doses

2.3.4 SDK Contraindications

ContraindicationRationale
Age <3 monthsLimited safety data
Known hypersensitivityAnaphylaxis risk
Conditions where elevated BP is dangerousUncontrolled hypertension, aortic dissection, hypertensive emergency (relative)
Active psychosisMay exacerbate symptoms (relative contraindication at SDK doses)
Globe ruptureTheoretical concern for IOP elevation (data at analgesic doses is reassuring)

2.4 Intravenous Lidocaine

IV lidocaine is a sodium channel blocker with analgesic, anti-inflammatory, and anti-hyperalgesic properties. It has been studied in the ED primarily for renal colic and abdominal pain, with several randomized controlled trials demonstrating meaningful analgesic benefit.7 13

2.4.1 IV Lidocaine Dosing

IndicationDoseAdministrationOnsetDurationNotes
Renal colic1.5 mg/kg (lean body weight)IV infusion over 10 minutes5–10 min30–60 minCan repeat once at 0.5–1 mg/kg if needed; cardiac monitor required
Acute pain (general)1.5 mg/kg (lean body weight)IV infusion over 10–15 minutes5–10 min30–60 minParticularly useful for visceral and neuropathic pain
Continuous infusion (inpatient)1–2 mg/min (or 0.5–1.5 mg/kg/hr)Continuous IV infusionOngoingDuration of infusionRequires cardiac monitoring; not standard ED use; more common in perioperative setting

2.4.2 IV Lidocaine Safety Considerations

ParameterDetail
Cardiac monitoringContinuous telemetry required during infusion; observe for QRS widening, PR prolongation, new arrhythmias
Maximum dose4.5 mg/kg total (without epinephrine); do not exceed 300 mg in initial bolus
ContraindicationsSecond- or third-degree heart block; severe sinoatrial block; known lidocaine allergy (amide allergy); severe hepatic impairment (reduced metabolism)
Toxicity signsPerioral numbness, tinnitus, metallic taste (early); seizures, cardiovascular collapse (late); treat with lipid emulsion if severe
Drug interactionsBeta-blockers and cimetidine reduce hepatic clearance; amiodarone increases risk of cardiac toxicity

2.5 Trigger Point Injections

Trigger point injections (TPIs) are effective for myofascial pain presentations in the ED, including acute muscle spasm, tension-type headache, and musculoskeletal chest wall pain.6 14

2.5.1 Technique

  1. Identify the trigger point: Palpate for a taut band of muscle with a hyperirritable nodule that reproduces the patient’s pain pattern
  2. Preparation: Clean the skin with chlorhexidine or alcohol; no draping required for superficial muscles
  3. Needle selection: 25–27 gauge, 1.5-inch needle
  4. Injection: Insert the needle into the trigger point; aspirate to confirm non-vascular placement; inject 1–3 mL of:
    • Bupivacaine 0.25% (longer duration, 4–8 hours) OR
    • Lidocaine 1% (faster onset, 1–2 hours duration) OR
    • Dry needling (needle insertion without injection; evidence supports similar efficacy)
  5. Post-injection: Apply pressure for 1–2 minutes; passive stretch of the affected muscle

2.5.2 Common ED Indications for Trigger Point Injections

PresentationMuscle(s) TargetedEvidence Level
Tension-type headacheTrapezius, sternocleidomastoid, temporalis, occipitalisModerate; may provide rapid relief when combined with standard therapies
Acute low back painParaspinal muscles, quadratus lumborumModerate; effective for muscular component of back pain
Chest wall painPectoralis, intercostal muscles, serratus anteriorModerate; important to exclude cardiac and pulmonary causes first
Neck pain/torticollisTrapezius, levator scapulae, sternocleidomastoidModerate; may reduce need for systemic muscle relaxants

2.6 Nitrous Oxide

Nitrous oxide (N₂O) is an inhaled analgesic and anxiolytic that provides rapid-onset, titratable, short-duration analgesia. It is self-administered by the patient through a demand-valve mask, providing an inherent safety mechanism (the patient must maintain a seal and inhale actively; sedation leads to the mask falling away, terminating delivery). Nitrous oxide has been used extensively in emergency departments internationally, particularly in Australasia and Europe, and its use is expanding in North American EDs.7 15

2.6.1 Nitrous Oxide Delivery and Dosing

ParameterDetail
Concentration50% N₂O / 50% O₂ (Entonox) is the standard fixed-ratio preparation; some systems use 70% N₂O / 30% O₂ (requires additional monitoring)
DeliverySelf-administered via demand-valve mask or mouthpiece; patient must be able to hold the delivery device
Onset30–60 seconds
Peak effect3–5 minutes
Recovery3–5 minutes after discontinuation (rapid elimination via lungs)
Analgesia levelProvides anxiolysis and analgesia for mild-to-moderate pain; typically reduces pain scores by 2–4 points on the NRS
ScavengingWaste gas scavenging system required to minimize occupational exposure; treatment room should have adequate ventilation

2.6.2 Nitrous Oxide Indications and Contraindications

IndicationsContraindications
Laceration repairPneumothorax (N₂O expands into air-filled spaces)
Fracture/dislocation reduction (adjunct)Bowel obstruction (N₂O expands into distended bowel)
Abscess incision and drainageMiddle ear surgery/pathology (tympanic membrane rupture risk)
IV cannulation in anxious patientsDecompression sickness
Burn wound careSevere COPD (relative; 50:50 mix provides adequate O₂)
Pediatric procedures (≥1 year)Altered mental status (cannot self-administer safely)
Brief painful proceduresFirst trimester pregnancy (theoretical teratogenicity; avoid if possible)
Musculoskeletal injury painIntracranial hypertension (relative)
Inability to cooperate with self-administration
Vitamin B₁₂ deficiency (chronic exposure inactivates B₁₂; single use is safe)

2.6.3 Adverse Effects

EffectIncidenceManagement
Nausea/vomiting5–10%Self-limited; have emesis basin available; discontinue if persistent
Dizziness/euphoria10–20%Expected pharmacologic effect; self-limited
Headache2–5%Mild; self-limited
Diffusion hypoxiaRareAdminister supplemental oxygen for 3–5 minutes after discontinuation in prolonged use

References


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