Background: Pain management in the emergency department is a critical aspect of patient care, with pain being a common complaint among patients referred to hospitals. Despite its importance, inadequate pain control is a prevalent issue in emergency settings, impacting patient satisfaction and outcomes. Specialist nurses play a crucial role in assessing, treating, and monitoring pain in emergency care settings, utilizing evidence-based protocols and collaborating with healthcare teams. However, nurse specialists face challenges such as time constraints, resource limitations, communication barriers, and patient resistance. Objective: This review aims to identify current pain management strategies employed by nurse specialists in emergency care settings, assess the impact of these techniques, explore challenges and barriers faced by nurse specialists, and examine the consequences of inadequate pain management. By addressing these objectives, the study seeks to enhance understanding of pain management practices in emergency settings and improve patient care outcomes. Conclusion: Effective pain management is essential in the emergency department to enhance patient satisfaction and outcomes. Specialist nurses play a crucial role in this process, utilizing evidence-based protocols and collaborating with healthcare teams. Despite facing challenges such as time constraints and resource limitations, nurse specialists strive to provide high-quality care. Various methods of pain control, including pharmacological and non-pharmacological interventions, are utilized to ensure timely and effective pain relief. Implementing standardized protocols and guidelines for pain management in emergency settings is crucial to address inadequately treated pain and improve patient care.