Benzodiazepines for the Reduction of Distress and Pain During and After Emergency Department Care

Inclusion Criteria: * Adults between the ages of 18-65 * Sustained a physical injury with a pain score ≥ 5 on the numeric rating scale \[NRS\] from 0- 10 with anchors of 0 = "no pain" and 10 = "worst pain imaginable" * Expected to be in the ED for at least 2 hours, in a private treatment room * Ownership of a cell phone with text messaging capabilities * Emergency Department admission assessment confirmed subject is not suicidal. Exclusion Criteria: * Non-English speaking * Not medically suitable for lorazepam per treating MD (e.g. medical condition where benzodiazepines are contraindicated or may be unsafe) * Not alert and oriented * Active psychosis, self-injury, suicidal/homicidal intentions on initial evaluation by treating team * Seeking treatment due to a mental health or substance use disorder * History of chronic opioid use * Prescribed opioid or benzodiazepine use within the past 24 hours * Alcohol use within the past 12 hours or medical history of alcoholism. * Clinical indication for open-label benzodiazepine administration in the ED. * Any use of recreational narcotics throughout lifetime * Sensitivity or allergy or intolerance to opioids or benzodiazepines * Current neurological disease (e.g., multiple sclerosis, stroke, brain tumor, seizure disorder, etc.) * Prisoner