NSAIDs Versus Paracetamol Versus Paracetamol + NSAIDs in Traumatic Pain Management

Inclusion Criteria: * age 18 years or older * acute (\<24 hours) post traumatic pain of the extremity and requiring analgesic treatment upon discharge for pain with intensity \>3 on a visual numeric scale Exclusion criteria: * open fracture * head, abdominal, thoracic or polytrauma. * Need for hospitalization, regular use of paracetamol and NSAIDs during the two weeks before admission to ED * history of allergy or hypersensitivity to either paracetamol or NSAIDs, * contraindication to paracetamol or NSAIDs, * acute /history of GI hemorrhage and renal insufficiency, * an inability to assess pain intensity according to the VNS. * Pregnancy * heart failure * known hepatic cirrhosis * known severe renal impairment (Creatinine clearance \<30 ml/min) * swallowing disorders * Refusal, incapacity or difficulties to consent or to communicate