RT Book, Section A1 Ducharme, James A2 Tintinalli, Judith E. A2 Stapczynski, J. Stephan A2 Ma, O. John A2 Yealy, Donald M. A2 Meckler, Garth D. A2 Cline, David M. SR Print(0) ID 1121496448 T1 Acute Pain Management T2 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071794763 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1121496448 RD 2024/03/29 AB Pain is the most common presenting symptom for patients coming to the ED, with 75% to 80% of all patients having pain as their primary complaint.1 Despite increasing research and information about pain management, oligoanalgesia, or the under treatment of pain, persists.2,3,4,5 While all patients are susceptible to oligoanalgesia, certain subgroups, such as ethnic minorities, the aged, the very young, and those with diminished cognitive function, are more at risk (Table 35-1).6,7,8,9 Pain management is further influenced by concerns of prescription opioid misuse, a rising concern in all age groups but most notably in adolescents and young adults. Pain and addiction are not mutually exclusive,10 and appropriate treatment of acute pain should not be withheld for fear of facilitating drug misuse.