The 2023 Lifelong Learning And Self-Assessment Study Guide - LLSA

About this Review

This study guide, delivered online digital formats, is designed to prepare emergency medicine physicians to pass the ABEM LLSA exam as well as update you on current topics in emergency medicine. It includes our "pass-or-it's-free" guarantee, as well as 20 AMA PRA Category 1 Credits^TM; (Specialty CME credits also included: 3 stroke credits, 2 ethics/end-of-life care/terminally ill care/palliative care credits, 2 controlled substances credits, 2 trauma credits, 6 pharmacology credits, and 2 infectious disease credits) (CME expires 07/01/25).

Features of the LLSA Study Guide

Key points summarized in the review

• Find pertinent information quickly, to facilitate review of the information
• Supplement and support the key points in the review

Bookmarks in the PDF

• Quickly locate the review that you want to study
• Navigate the PDF file with one easy click
• Mark pages for your own use and come back to them later

ABEM Quick Quiz

• Utilize ABEM’s fill-in-the-blank questions at the beginning of each review to test your knowledge and improve material recall as you read the reviews
• Check the answers provided at the end of each review to aid in retention
• ABEM Quick Quiz questions emphasize key points, as determined by ABEM

Study questions

• CME questions to help you test yourself on your knowledge of the material
• Answers and explanations to the questions that drive home the main points

Article summary and critiques

• A summary of the article with critical discussion and critique of the article
• Additional information and resources not provided in the original articles that can be applied to practice
• Links to additional reading

Continuing education credits

• 20 AMA PRA Category 1 Credits^TM

Related EB Medicine issues

• Links to monthly EB Medicine issues and topics provide you with a deeper dive
• into practice-changing content, with more detailed information on topics covered in the study guide.

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Review Modules

• Review 1: Headache in the Emergency Department: Avoiding Misdiagnosis of Dangerous Secondary Causes, an Update
• Review 2: Acute Ischemic Stroke
• Review 3: Oncologic Emergencies: Palliative Care in the Emergency Department Setting
• Review 4: Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE): Recurrent, Low-Risk Chest Pain in the Emergency Department
• Review 5: Managing Opioid Withdrawal in the Emergency Department With Buprenorphine
• Review 6: Shoulder Dislocations in the Emergency Department: A Comprehensive Review of Reduction Techniques
• Review 7: Conservative Versus Interventional Treatment for Spontaneous Pneumothorax
• Review 8: Outpatient Treatment of Low-Risk Pulmonary Embolism in the Era of Direct Oral Anticoagulants: A Systematic Review
• Review 9: Demystifying Lactate in the Emergency Department
• Review 10: Emerging and Reemerging Sexually Transmitted Infections
• Review 11: Early Anticoagulant Reversal After Trauma: A Western Trauma Association Critical Decisions Algorithm

Information on the ABEM LLSA examination

• Depending on your recertification year, the LLSA examination is one of the components required for maintenance of certification (MOC) with the American Board of Emergency Medicine (ABEM).
• The primary goal of the LLSA examination 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 relevant to current clinical practice.
• EB Medicine’s study guide is created each year for emergency medicine physicians preparing for the ABEM examination required for maintenance of their certification.

Switching From LLSA to MyEMCert

ABEM has updated the recertification process with a transition to MyEMCert, and will no longer offer the LLSA exam after 2025. Additionally, the ConCert exam will no longer be available after 2022. For information on your recertification requirements (based on your recertification year), go to: ABEM Reqs

CME Information

• 20 AMA PRA Category 1 Credits^TM included at no extra charge with your LLSA Study Guide
• Included as part of the 20 credits, this CME activity is eligible for 3 stroke credits, 2 ethics/end-of-life care/terminally ill care/palliative care credits, 2 controlled substances credits, 2 trauma credits, 6 pharmacology credits, and 2 infectious disease credits, subject to your state and institutional requirements.

Table of Contents

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
   1. Subarachnoid Hemorrhage
   2. Cervical Artery Dissection
   3. Giant Cell Arteritis
   4. Cerebral Vein and Sinus Thrombosis
   5. Intracranial Idiopathic Hypertension
   6. Acute Angle Closure Glaucoma
   7. Bacterial Meningitis
   8. Pre-Eclampsia
   9. Pituitary Apoplexy
   10. Carbon Monoxide Poisoning
   11. Space-Occupying Lesions
4. Critique
5. Key Points
6. References
7. Editor’s Note
8. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. References
6. Key Points
7. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. References
6. Key Points
7. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Key Points
5. Critique
6. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. Reference
6. ABEM Quick Quiz Answers
7. Key Points

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Key Points
5. Critique
6. References
7. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. ABEM Quick Quiz Answers
6. Key Points

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. Key Points
6. References
7. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. Key Points
6. Reference
7. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
   1. Sexually Transmissible Enteric Pathogens
   2. Emerging Sexually Transmissible Pathogens
   3. Emerging Sexually Transmissible Viruses
   4. New Issues With Established Sexually Transmitted Infections
4. Critique
5. References
6. Key Points
7. ABEM Quick Quiz Answers

1. Article Citation
2. ABEM Quick Quiz
3. Synopsis
4. Critique
5. References
6. Key Points
7. ABEM Quick Quiz Answers