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, 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
- 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 Cardiovascular Disorders and Hematologic Disorders
Content Area 3. Cardiovascular Disorders
Chen EH, Hollander JE. When do patients need admission to a telemetry bed? J Emerg Med. 2007;33(1):53-60.
Decker WW, Godwin SA, et al. Clinical policy: critical issues in the evaluation and management of adult patients with asymptomatic hypertension in the emergency department. Ann Emerg Med. March 2006;47(3):237-249.
Masip J, Roque M, et al. Noninvasive ventilation in acute cardiogenic pulmonary edema. Systematic review and meta-analysis. JAMA. Dec 2005;294(24):3124-3130.
Nallamothu BK, Bradley EH, Krumholz HM. Time to treatment in primary percutaneous coronary intervention. N Engl J Med. Oct 2007;357(16):1631-1638.
Roy CL, Minor MA, et al. Does this patient with a pericardial effusion have cardiac tamponade? JAMA. Apr 2007;297(16):1810-1818.
Silvers SM, Howell JM, et al. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute heart failure syndromes. Ann Emerg Med. May 2007;49(5):627-669.
Content Area 8. Hematologic Disorders
Aster RH, Bougie DW. Drug-induced immune thrombocytopenia. N Engl J Med. Aug 2007;357(6):580-587.
Halfdanarson TR, Hogan WJ, Moynihan TJ. Oncologic emergencies: diagnosis and treatment. Mayo Clin Proc. June 2006;81(6):835-848
Selections from the Remainder of the Listing of Conditions and Components
The Model of the Clinical Practice of Emergency Medicine
Content Area 4. Cutaneous Disorders
Fitch MT, Manthey DE, et al. Abscess incision and drainage. N Engl J Med. Nov 2007;357(19):e20. (Test questions will only be written from the article, but ABEM also encourages diplomates to watch the video.)
Hankin A, Everett WW Are antibiotics necesssary after incision and drainage of a cutaneous abscess? Ann Emerg Med. July 2007;50(1):49-51.
Content Area 19. Procedures and Skills Integral to the Practice of Emergency Medicine
Brenner DJ, Hall EJ. Computed tomography — An increasing source of radiation exposure. N Engl J Med. Nov 2007;357(22):2277-2284.
Miner JR, Burton JH Clinical practice advisory: emergency department procedural sedation with propofol. Ann Emerg Med. Aug 2007;50(2):182-187.
Content Area 20. Other Components of the Practice of Emergency Medicine
Kachalia A, Gandhi TK, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Med. Feb 2007;49(2):196-205. WITH accompanying editorial:
Wears RL, Nemeth CP. Replacing hindsight with insight: toward better understanding of diagnostic failures. Ann Emerg Med. Feb 2007;49(2):206-209.
Moskop JC, Geiderman JM, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. Nov 2006;48(5):523-531.
Simon JR. Refusal of care: the physician-patient relationship and decisionmaking capacity. Ann Emerg Med. Oct 2007;50(4):456-461.