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--including off label use of medications--by virtue of its being the subject of a selected LLSA reading. Likewise, ABEM is mindful of the potential for real or perceived conflicts of interest in professional literature and makes a conscious effort to account for this in its LLSA reading selections.
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, ABEM MOC 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 ABEM MOC Online for readings from Academic Emergency Medicine selected for LLSA. Some publishers provide direct access to their website, possibly charging a fee or requiring login information to view the article.
- Occasionally, 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 Systemic Infectious Disorders and Obstetrics and Gynecologic Disorders
Content Area 10. Systemic Infectious Disorders
DeBacker D, Biston P, Devriendt J, et al. Comparison of dopamine and norepinephrine in the treatment of shock. N Engl J Med. 2010;362(9):779-789.
del Portal DA, Shofer F, Mikkelsen ME, et al. Emergency department lactate is associated with mortality in older adults admitted with and without infections. Acad Emerg Med. 2010;17(3):260-268.
Landovitz RJ, Currier JS. Postexposure prophylaxis for HIV infection [clinical practice]. N Engl J Med. 2009;361(18):1768-1775.
Luzuriaga K, Sullivan JL. Infectious mononucleosis. N Engl J Med. 2010;362(21):1993-2000.
Nazarian DJ, Eddy OL, Lukens TW, Weingart SD, Decker WW. Clinical policy: critical issues in the management of adult patients presenting to the emergency department with community-acquired pneumonia. Ann Emerg Med. 2009;54(5):704-731.
Content Area 13. Obstetrics and Gynecology
Barnhart KT. Ectopic pregnancy [clinical practice]. N Engl J Med. 2009;361(4):379-387.
Selections from the Remainder of the Listing of Conditions and Components
The Model of the Clinical Practice of Emergency Medicine
Content Area 5. Endocrine, Metabolic, and Nutritional Disorders
Hohl CM, Kelly-Smith CH, Yeung TC, Sweet DD, Doyle-Waters MM, Schulzer M. The effect of a bolus dose of etomidate on cortisol levels, mortality, and health services utilization: a systematic review. Ann Emerg Med. 2010;56(2):105-113.
Content Area 7. Head, Ear, Eye, Nose, and Throat Disorders
Hollands H, Johnson D, Brox AC, Almeida D, Simel DL, Sharma S. Acute-onset floaters and flashes: is this patient at risk for retinal detachment? JAMA. 2009;302(20):2243-2249.
Content Area 16. Thoracic-Respiratory Disorders
Lindenauer PK, Pekow PS, Lahti MC, Lee Y, Benjamin EM, Rothberg MB. Association of corticosteroid dose and route of administration with risk of treatment failure in acute exacerbation of chronic obstructive pulmonary disease. JAMA. 2010;303(23):2359-2367.
Content Area 19. Procedures and Skills Integral to the Practice of Emergency Medicine
Dargin J, Medzon R. Emergency department management of the airway in obese adults. Ann Emerg Med. 2010;56(2):95-104.
Jabre P, Combes X, et al. Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet. 2009;374:293-300.
Content Area 20. Other Components and Core Competencies of the Practice of Emergency Medicine
Viccellio A, Santora C, Singer AJ, Thode HC, Henry MC. The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. Ann Emerg Med. 2009;54(4):487-491.