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Introduction: Pain is a very frequent symptom in emergency medicine and the understanding of its epidemio-clinical characters is essential to better manage it. The objective of our work was to describe the epidemiological and clinical characteristics of acute pain in a medical emergency department. Materials and methods: This is a prospective study carried out in the Emergency Reception-Triage Service of the CHU-MA Mahajanga, from October 1, 2018 to September 30, 2019. We recorded the socio-demographic data of the patients as well as the characteristics pains. The variables were analyzed by SPSS 25.0 software. Results: The frequency of painful patients admitted is estimated at 43.5%. The pain has concerned mainly patients from 46 to 60 years old (27.33%), with an average age of 57 years of female gender (61.2%). The group working in the informal sector (65.5%) was the most affected. As for the reasons for admission, it was mainly acute pain (86.3%) due to an excess nociception (97.9%), dominated by medical pathologies with preponderance digestive pathologies (34.5%). Conclusion: Through this study, we were able to see that pain is the most common reason for entering the emergency room. According to our study, it predominates in people of age more advanced and the most frequent causes are medical pathologies

Objective: Patients And To describe the therapeutic aspect of acute pain in a medical emergency department and to report our experiences. Methods: A prospective study was performed over a 12-month period in the Reception-Triage-Emergency service of the teaching hospital Mahavoky Mahajanga. Therapeutic modalities along with the evolutionary data of pain were studied. The variables were analyzed by SPSS 25.0 software. Of the 139 patients selected, pain intensity was assessed on Results: admission and after treatment using the visual analogue scale (VAS). Pain was moderate in 62.6% of cases. Acetaminophen constituted the large share of prescriptions (45.3%). Levels II and III were insufciently prescribed with regard to the pain intensity observed on admission (respectively 2.2% and 1.4%). The wider use of the intravenous route was signicant (69.1%). After treatment, 32.4% of patients were completely relieved. Ac Conclusion: cording to this study, pain management still needs to be improved. This requires for good staff training and doctor-nurse collaboration to be part of a quality approach