“…The under-use of paracetamol in unrelieved patients can be incriminated, but, due to its slower onset of action, this factor does not seem likely to be preponderant in the pre-hospital setting. These results suggest that implementation of therapeutic protocols are not sufficient to improve quality of care, and that repeated evaluation must be done to identify non-compliance and build good habits (38,39). To improve pain relief in the field, emergency teams should consider the association of non-narcotic analgesics along with a titration protocol for morphine.…”