Addressing pain in the prehospital setting is vitally important to both the clinical care and patient satisfaction of individuals who are experiencing pain. With the rise of the opioid epidemic that has affected the county over the last several years we have an obligation as healthcare providers to explore non-opiate based pain management options. We have been utilizing Intravenous Acetaminophen for over two years now and have presented multiple abstracts on the efficacy of Intravenous Acetaminophen in the prehospital setting. In this session we will discuss the results from our experience. We will also be coving the pharmacology of Intravenous Acetaminophen along with other pain management options. We will also be comparing the efficacy of other pain management options covering both opiate based and non-opiate based with various routes of administration . The session will also cover the lessons learned from our experience and some best practice implementation strategies.