[Adult Pain Management in the Emergency Department]

The "Assessment - Acute Treatment - Reassessment - Relay" approach is still the basis of acute pain management for adults in the emergency department, and intravenous morphine titration remains the cornerstone of severe pain management. However, new recommendations, incorporating all the latest scientific and contextual developments, have led to challenge its place, and to modify the treatment approach. As a general rule, an initial protocol at triage should be followed by multimodal, individualized management for each patient, taking into account the possibility of induced pain, and analgesic relays after the emergency stay should be adapted to the new benefit/risk balance of opioids (from all classes) especially for ambulatory patients.