0

The 2020 Lifelong Learning And Self-Assessment Study Guide - LLSA

About this Review

The 2020 LLSA Study Guide includes all of the resources you need to prep for the ABEM LLSA exam: a full reprint of every article on the 2020 LLSA reading list; a review of each article, with key points identified for efficient exam prep.

New Features

Key Points Highlighted in the Original Article Text
  • Find pertinent information quickly to facilitate review of the information
  • Supplement and support the key points noted in the review text
Bookmarks in the PDF
  • Quickly locate the review or article 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
Quick Quiz
  • Utilize these 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
  • Quiz questions emphasize key points as determined by ABEM
Key Points Pack
  • This collection of the key points for each article will provide you with easy access to the "must-know" information
  • Download the PDF and print for quick review without having to navigate through the full study guide each time

Review Modules

Reviewers

Suzanne Bentley, MD, MPH, FACEP
Attending Physician, Department of Emergency Medicine, NYC Health + Hospitals/ Elmhurst, Elmhurst, NY; Associate Professor, Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY
Luke B. Berry, MD
Department of Emergency Medicine, Northwell Health Long Island Jewish Hospital, New Hyde Park, NY
Lauren Boehm, MD
Department of Pediatrics, New York University, New York, NY
Moira Carroll, MD
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Martin F. Casey, MD, MPH
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Evan Feinberg, MD
Department of Emergency Medicine, Northwell Health at North Shore University Hospital and Long Island Jewish Medical Center, New Hyde Park, NY
Rosalia Holzman, MD
BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI
Gwendolyn Hooley, MD
Department of Emergency Medicine, Mount Sinai Hospital, New York, NY
Angie Hua, MD
Faculty, Department of Emergency Medicine, Northwell Long Island Jewish Hospital, New Hyde Park NY; Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra University, New Hyde Park, NY
Joe Kebisek, MD
University of Connecticut School of Medicine, Farmington, CT
Daniel Patino-Calle, MD
Department of Emergency Medicine, University of Connecticut, Hartford, CT
Avital Porat, MD
Director of Quality and Safety, Department of Emergency Medicine, Hartford Hospital, Hartford, CT
Leila L. PoSaw, MD, MPH, FACEP
Emergency Ultrasound Director, Department of Emergency Medicine, Jackson Memorial Hospital, Miami, FL
Arjun Prabhu, MD, MBE
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Daniel J. Ritter, MD
BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI
Jennifer E. Sanders, MD
Assistant Professor and Associate Fellowship Director, Pediatric Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Benjamin H. Schnapp, MD, MEd
Assistant Professor and Associate Residency Program Director, BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI
Kaushal H. Shah, MD
Vice Chair of Education, NYP-Weill Cornell Department of Emergency Medicine, New York, NY
Taryn Webb, MD
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

Information on the ABEM LLSA examination

  • The LLSA examination is one of the 3 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.
  • This study guide is created each year for emergency medicine physicians preparing for the ABEM examination required for maintenance of their certification.

CME Information

  • 35 AMA PRA Category 1 CreditsTM or 35 ACEP Category I Credits included at no extra charge with your LLSA Study Guide
  • Specialty CME credits: Included as part of the 35 credits, this CME activity is eligible for 3 critical care credits, 6 infectious disease credits, 3 pediatric nonaccidental trauma/abuse credits, 4 trauma credits, 3 pain management/controlled substances credits, 3 pharmacology credits, and 3 stroke credits, subject to your state and institutional requirements.

Table of Contents

Review 1: Acute Diarrheal Infections in Adults

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
  5. Critique
  6. References
  7. Key Points
  8. Quick Quiz Answers
  9. Original Article

Review 2: Acute Myocardial Infarction

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Epidemiology
    2. Pathophysiology
    3. Initial Evaluation, Diagnostic Testing, and Risk Stratification
    4. Initial Medical Care
      1. Prehospital Care
      2. Emergency Department and Early Inpatient Care
    5. Treatment of ST-Segment Elevation Myocardial Infarction
    6. Treatment of Acute Coronary Syndromes Without ST-Segment Elevation
    7. Antithrombotic Therapy
      1. Antiplatelet Agents
      2. Anticoagulant Agents
      3. Combined Oral Anticoagulant and Antiplatelet Therapy
    8. Complications
    9. Late Inpatient and Predischarge Care
    10. Future Direction
  5. Critique
  6. Editor’s Note
  7. Reference
  8. Key Points
  9. Quick Quiz Answer
  10. Original Article

Review 3: Physical Abuse of Children

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. The Clinical Problem
    2. Strategies and Evidence
    3. Areas of Uncertainty
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers
  9. References
  10. Original Article

Review 4: Acute Lower Gastrointestinal Bleeding

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Clinical Presentation
    2. Initial Assessment
    3. Initial Management
    4. Diagnostic Evaluation and Therapies
    5. Antiplatelet Medications and Acute Lower Gastrointestinal Bleeding
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers
  9. Original Article

Review 5: Necrotizing Soft-Tissue Infections

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Definition and Classification
    2. Classification of Necrotizing Fasciitis
      1. Necrotizing Fasciitis Type I
      2. Necrotizing Fasciitis Type II
      3. Necrotizing Fasciitis Type III
      4. Other Pathogens Causing Necrotizing Skin Infections
    3. Diagnosis of Necrotizing Skin Infections
      1. Clinical Findings
      2. Imaging
      3. Tissue Biopsy, Histologic Testing, and Gram Stain
      4. Serum Analysis
      5. Laboratory Risk Indicator for Necrotizing Fasciitis Scoring System
    4. Treatment
      1. Surgical Intervention
      2. Pharmacologic Treatment
      3. Management of Associated Critical Problems
      4. Adjunctive Treatment
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers
  9. Original Article

Review 6: Nonpenetrating Eye Injuries in Children

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Corneal Abrasions
    2. Chemical Ocular Burns
    3. Traumatic Hyphema
    4. Orbital Fractures
    5. Traumatic Iritis
    6. Posterior Eye Injuries
  5. Critique
  6. Editor’s Note
  7. Additional Reading
  8. Key Points
  9. Quick Quiz Answers
  10. Figure
    1. Figure 1. The Seidel Test
  11. Original Article

Review 7: Changes in Provider Prescribing Patterns After Implementation of an Emergency Department Prescription Opioid Policy

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Guidelines and Education
    2. Outcomes and Conclusions
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers
  9. Figure
    1. Figure 1. Opioid Prescriptions Compared to Patient Visits
  10. Original Article

Review 8: The Pediatric Airway and Rapid Sequence Intubation in Trauma

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Pediatric Airway Anatomy
    2. Airway Adjuncts
    3. Indications for Rapid Sequence Intubation
    4. Preoxygenation
    5. Pediatric Airway Management Equipment
    6. Identifying Difficult Airways
    7. Induction Agents
    8. Paralytics
    9. Complications
    10. Specific Pediatric Trauma Considerations
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers

Review 9: Emergency Department Management of Pediatric Shock

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Recognition and Management of Shock in the Pediatric Population
      1. Fluid Resuscitation, Vasoactive Medications, Steroids, Antibiotics, and Intubation
      2. Assessing Resuscitation
  5. Critique
  6. Key Points
  7. Editor’s Note
  8. Quick Quiz Answers
  9. Table
    1. Table 1. Signs and Symptoms of Hemorrhage by Class
  10. Original Article

Review 10: Idarucizumab for the Reversal of Dabigatran

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Glund, Moschetti, Norris, et al (Thrombosis and Haemostasis, 2015)
    2. Glund, Stangier, Schmohl, et al (Lancet, 2015)
    3. Glund, Stangier, van Ryn, et al (Clinical Pharmacokinetics, 2017)
    4. Glund, Stangier, van Ryn, et al (Journal of the American College of Cardiology, 2016)
    5. Pollack, Reilly, Eikelboom, et al (The New England Journal of Medicine, 2015)
    6. Limitations of the Studies
  5. Critique
  6. Editor’s Note
  7. Key Points
  8. Additional Reading
  9. Quick Quiz Answers
  10. Original Article

Review 11: Safety of Magnetic Resonance Imaging in Patients With Cardiac Devices

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
  5. Critique
  6. Key Points
  7. Quick Quiz Answers
  8. Original Article

Review 12: Acute Spinal Cord Compression

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Overview and General Features of Acute Spinal Cord Compression
    2. Traumatic Spinal Cord Compression
    3. Neoplastic Epidural Spinal Cord Compression
    4. Spinal Epidural Abscess
  5. Critique
  6. Editor’s Note
  7. Additional Reading
  8. Key Points
  9. Quick Quiz Answers
  10. Original Article

Review 13: Thrombectomy for Stroke at 6 to 16 Hours With Selection by Perfusion Imaging

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
  5. Critique
  6. Editor’s Note
  7. Additional Reading
  8. Key Points
  9. Quick Quiz Answers
  10. Figure
    1. Figure 1. DEFUSE 3 Trial Outcomes
  11. Original Article
Get Quick-Read Evidence-Based Updates
Enter your email to get free evidence-based content delivered to your inbox once per month.
Please provide a valid email address.