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 […]
Category: Research
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 […]
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 […]
Diagnostic and Management Challenges in Self-Mutilated Hand Injuries. Paul Henning, MD.
Phillips, D., Henning, P., & Sternberg, M. (2021). The self-mutilated hand. Visual Journal of Emergency Medicine, 25, 101102. https://doi.org/10.1016/j.visj.2021.101102. This study included contributions from Paul Henning MD. The study by Phillips, Paul Henning, MD and Sternberg (2021) examines the complexities of self-inflicted hand injuries in emergency settings, emphasizing the diagnostic, management, and psychological challenges associated […]