The primary goal of LLSA is to promote continuous learning by diplomates. ABEM facilitates this learning by identifying an annual set of LLSA readings to guide diplomates in self-study of recent EM literature. Readings are intended to address issues of relevance to current clinical practice at the time they are posted. ABEM recognizes that EM is an ever-evolving science and that new knowledge becomes available on a continual basis.
LLSA readings are designed as study tools and should be read critically. They are not intended to be all-inclusive and are not meant to define the standard of care for the clinical practice of EM. ABEM does not endorse a specific research finding or treatment modality by virtue of its being the subject of a selected LLSA reading.
One criterion for choosing articles is that they be easily available from a variety of sources, such as common Emergency Medicine texts, libraries, and Internet websites. In addition, some publishers allow access to the articles directly from the ABEM public website, EMCC Online, or both by clicking on the underlined listings.
· The Massachusetts Medical Society has provided full access to most readings selected for LLSA from the New England Journal of Medicine
· Wiley-Blackwell has provided Adobe Acrobat files to ABEM diplomates logged onto EMCC Online for readings from Academic Emergency Medicine selected for LLSA.
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Some publishers provide direct access to their website, possibly charging a fee or requiring login information to view the article
· Ocassionally, as is the case for many book chapters, the publisher will not provide direct access or does not have Internet access to the article.
Accessibility and fees are at the discretion of the publisher, and are not related to ABEM in any way. ABEM sincerely appreciates the contributions of those publishers that have made the articles easily accessible to ABEM diplomates. All questions regarding fees or login information required to access the readings should be directed to the publisher or organization that published the article.
Selections from Environmental Disorders and Procedures and Skills Integral to the Practice of Emergency Medicine
Content Area 6. Environmental Disorders
Freeman TM. Hypersensitivity to Hymenoptera stings. N Engl J Med. Nov 2004;351(19):1978-1984.
Kales SN, Christiani DC. Acute chemical emergencies. N Engl J Med. Feb 2004;350(8):800-808.
Kao LW, Nanagas KA. Carbon monoxide poisoning. Emerg Med Clin N Am. 2004;22:985-1018.
Koenig KL, Goans RE, et al. Medical treatment of radiological casualties: current concepts. Ann Emerg Med. June 2005;45(6):643-652.
Content Area 19. Procedures and Skills Integral to the Practice of Emergency Medicine
Barrett BJ, Parfrey PS. Preventing nephropathy induced by contrast medium. N Engl J Med. Jan 2006;354(4):379-386.
Godwin SA, Caro DA, et al. Clinical policy: procedural sedation and analgesia in the emergency department. Ann Emerg Med. Feb 2005;45(2):177-196.
Eidelman A, Weiss JM, et al. Topical anesthetics for dermal instrumentation: a systematic review of randomized, controlled trials. Ann Emerg Med. Oct 2005;46(4):343-351.
Levitan RM, Kinkle WC, et al. Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med. June 2006;47(6):548-555.
Melniker LA, Leibner E, et al. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. Sept 2006;48(3):227-235.
Nieman CT, Manacci CF, et al. Use of the Broselow tape may result in the underresuscitation of children. Acad Emerg Med. Oct 2006;13(10):1011-1019.
Straus SE, Thorpe KE, Holroyd-Leduc J. How do I perform a lumbar puncture and analyze the results to diagnose bacterial meningitis. JAMA. Oct 2006;296(16):2012-2022.
Thomsen TW, Shen S, et al. Arthrocentesis of the knee. N Engl J Med. May 2006;354(19):e19. (Test questions will only be written from the article, but ABEM also encourages diplomates to watch the video.)
Selections from the Remainder of the Listing of Conditions and Components
The Model of the Clinical Practice of Emergency Medicine
Content Area 2. Abdominal and Gastrointestinal Disorders
Freedman SB, Adler M, et al. Oral ondansetron for gastroenteritis in a pediatric emergency department. N Engl J Med. Apr 2006;354(16):1698-1705.
Content Area 3. Cardiovascular Disorders
Bradley EH, Herrin J, et al. Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med. Nov 2006;355(22):2308-2320.
Content Area 7. Head, Ear, Eye, Nose, and Throat Disorders
Spiro DM, Tay K, et al. Wait-and-see prescription for the treatment of acute otitis media: a randomized controlled trial. JAMA. Sept 2006;296(10):1235-1241.
Content Area 10. Systemic Infectious Disorders
Eichacker PQ, Natanson C, Danner RL. Surviving sepsis — practice guidelines, marketing campaigns, and Eli Lilly. N Engl J Med. Oct 2006;355(16):1640-1642.
Nguyen HB, Rivers EP, et al. Severe sepsis and septic shock: review of the literature and emergency department management guidelines. Ann Emerg Med. July 2006;48(1):28-54.
Content Area 12. Nervous System Disorders
Darouiche RO. Spinal epidural abscess. N Engl J Med. Nov 2006;355(19):2012-2020.
Content Area 18. Traumatic Disorders
Rathlev NK, Medzon R, et al. Intracranial pathology in elders with blunt head trauma. Acad Emerg Med. Mar 2006;13(3):302-307.
Content Area 20. Other Components of the Practice of Emergency Medicine
Institute of Medicine. IOM Report: the future of emergency care in the United States health system. Acad Emerg Med. Oct 2006;13(10):1081-1085.
Revised 4/06/10 kas