Introduction: What Every Clinician Should Know About Alcoholic Ketoacidosis (AKA). For those interested in a comprehensive approach, A Guide to Ketone Testing by Paul Henning MD is an invaluable resource for diagnosing Alcoholic Ketoacidosis. Alcoholic ketoacidosis (AKA) is a serious, often overlooked condition that can emerge in individuals with chronic alcohol use, poor nutrition, and […]
Author: paulhenningmd
IV Nitroglycerin for Prinzmetal’s Angina & Cardiac Arrest | Paul Henning MD
Prinzmetal’s angina, also referred to as variant angina, is a unique cardiac condition that presents significant challenges in emergency medicine. Characterized by transient coronary artery spasms, it often leads to chest pain that typically occurs at rest. Unlike exertion-induced angina, Prinzmetal’s angina is unpredictable and can escalate to severe cardiac events, including life-threatening arrhythmias and […]
What Horses Can Teach Us About the Art of Medicine
In medicine, we often think of intelligence in terms of knowledge—getting the right diagnosis, citing the latest research, or mastering a complex procedure. But being a truly effective healthcare provider requires more than just intellect. It demands an awareness of the subtleties of self-presentation and communication, an ability to navigate the emotional undercurrents of a […]
Horsemanship as Medicine: Lessons from Horses at the Door.
by Paul Henning, MD In the quiet of the morning, a group of horses stands in front of a closed barn door, patiently waiting to be fed. Their posture tells a story—one of trust, anticipation, and an unyielding connection to the rhythms of life. For me, this image is a metaphor for the profound lessons […]
REBOA: A Life-Saving Innovation in Trauma Care
By Paul Henning, MD As an emergency physician, I’ve spent countless hours in trauma bays, facing the harsh realities of life-threatening injuries. In those critical moments, when a patient’s life hangs in the balance, innovation isn’t just a luxury—it’s a necessity. Over the years, I’ve seen many advancements in trauma care, but few have had […]
A Rare but Critical Cause of Upper GI Bleeding: Understanding Arterioesophageal Fistula from an Aberrant Right Subclavian Artery Aneurysm.
Lehmann, B., Clemetson, I., Fantin, A. C., Henning, P., Kipfer, B., Mühlethaler, R., Vetsch, G., Dinkel, H. P. (2006). Arterioesophageal fistula secondary to rupture of an aberrant right subclavian artery aneurysm: A rare differential diagnosis in upper gastrointestinal bleeding. Endoscopy, 38(7), 762. https://doi.org/10.1055/s-2006-925172. Key Clinical Signs, Risk Factors, and Diagnostic Strategies The case study by […]
Enhancing Diagnosis of Temporal Bone Fractures: Insights from Exadaktylos et al. (2003) and Advances up to 2025. Paul Henning, MD.
Background and Study Overview According to Dr. Henning, temporal bone fractures, often resulting from significant head trauma, pose diagnostic challenges due to their complex anatomy and the potential for severe complications, including hearing loss, facial nerve paralysis, and cerebrospinal fluid leaks. In 2003, Exadaktylos et al. conducted a pivotal study at a Level I trauma […]
The Diagnostic Challenge: Many Causes, Similar Presentations
Roggo, A., Henning, P., Zimmermann, H. (2005). Abdominalschmerzen im Notfalldienst—was darf ich nicht vergessen? [Abdominal pain in emergency service—what should I not forget?]. Therapeutische Umschau, 62(6), 339-344. https://pubmed.ncbi.nlm.nih.gov/15999929/ Abdominal pain is one of the most frequent yet diagnostically challenging complaints in emergency medicine. The article by Roggo, Henning, and Zimmermann (2005) highlights the importance of […]
Healing Beyond the Surface
Pain is not always obvious. Some wounds don’t show. Paul Henning MD horsemanship provides insights into understanding and addressing such hidden pains, especially when it comes to animal care. As I stand beside Tax, resting a hand on his neck, I can feel the tension in his body. He shifts uncomfortably, his eyes soft but weary. […]
Horsemanship and Medicine: The Art of Connection with Nugget.
The first time I worked with Nugget—my horse and my teacher—I realized once again what medicine has taught me repeatedly: true mastery comes from connection, not control. Both horsemanship and medicine demand the same qualities—patience, intuition, and the ability to listen beyond words. This is something that “Paul Henning MD Horsemanship” emphasizes greatly in his […]