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 Abdominal and Gastrointestinal Disorders and Other Components of the Practice of Emergency Medicine
Category 2. Abdominal and Gastrointestinal Disorders
Bundy DG, Byerley JS, et al. Does this child have appendicitis? JAMA. July 2007;298(4):438-451.
Jacobs DO. Diverticulitis. N Engl J Med. Nov 2007;357(20):2057-2066.
Ranji SR, Goldman LE, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA. Oct 2006;296(14):1764-1774.
Thomsen TW, Shaffer RW, et al. Paracentesis. N Engl J Med. Nov 2006; 355(19). (Test questions will only be written from the article, but ABEM also encourages diplomates to watch the video.) The content of this reading also relates to Category 19, Procedures and Skills Integral to the Practice of Emergency Medicine.
Category 20. Other Components of the Practice of Emergency Medicine
Appelbaum PS. Assessment of patients' competence to consent to treatment. N Engl J Med. Nov 2007;357(18):1834-1840.
Edwards ED, Jacob BP, et al. Presentation and management of common post-weight loss surgery problems in the emergency department. Ann Emerg Med. Feb 2006;47(2):160-166.
Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. June 2007;356(26):2713-2719.
Karounis H, Gouin S, et al. A randomized, controlled trial comparing long-term cosmetic outcomes of traumatic pediatric lacerations repaired with absorbable plain gut versus nonabsorbable nylon sutures. Acad Emerg Med. July 2004;11(7):730-735.
Selections from the Remainder of the Listing of Conditions and Components
The Model of the Clinical Practice of Emergency Medicine
Category 10. Systemic Infectious Disorders
Venkat A, Piontkowsky DM, et al. Care of the HIV-positive patient in the emergency department in the era of highly active antiretroviral therapy. Ann Emerg Med. Sept 2008;52(3):274-285.
Sprung CL, Annane D, et al. Hydrocortisone therapy for patients with septic shock. N Engl J Med. Jan 2008;358(2):111-124.
Category 12. Nervous System Disorders
Cucchiara B, Ross M. Transient ischemic attack: risk stratification and treatment. Ann Emerg Med. Aug 2008;52(2):S27-S39.
Category 17. Toxicologic Disorders
Heard KJ. Acetylcysteine for acetaminophen poisoning. N Engl J Med. July 2008;359(3):285-292.
Category 18. Traumatic Disorders
Ropper AH, Gorson KC. Concussion. N Engl J Med. Jan 2007;356(2):166-172.
Singer AJ, Dagum AB. Current Management of Acute Cutaneous Wounds. N Engl J Med. Sept 2008;359(10):1037-1046. (Test questions will only be written from the article, but ABEM also encourages diplomates to watch the video.)