Pain is a common complaint of patients cared for by EMS providers. The NAEMSP currently supports every EMS system having a policy to address prehospital pain management. Several studies have shown that oligoanalgesia is more the rule than the exception in prehospital care. There are physiological and non‐physiological benefits to prehospital analgesia, including improved patient comfort and improved perception of quality of care. Although opioids are the most common analgesics, other options include nitrous oxide, ketamine, non‐steroidal antiinflammatory agents, acetaminophen, and therapeutic communication. Many barriers to prehospital analgesia exist, some of which can be addressed through prehospital provider educational programs and interventions. Treating acute pain and relieving suffering should be a primary mission of all health care providers.