On The Wards: On The Pods Medical Podcast for Doctors

Deborah Leach, clinical director at Box Hill Hospital, and Paul Bunting, director of Emergency Medicine Research for Eastern Health, dive into the crucial topic of rational test ordering. They discuss the pitfalls of unnecessary medical tests and advocate for a patient-centered approach. The conversation emphasizes the importance of thorough history-taking and clinical reasoning over technology reliance. Additionally, they explore innovative strategies for improving test ordering practices, highlighting the benefits of reducing low-value interventions for both patients and healthcare resources.

Zef Kutajanis, an emergency physician and clinical toxicologist, dives into the complex world of novel psychoactive substances (NPS). He discusses a puzzling case of a 90-year-old man displaying bizarre behavior after suspected NPS use. Kutajanis highlights the alarming rise of these substances, their unpredictable effects, and the unique challenges they pose in emergency care. He emphasizes the need for vigilant monitoring and compassionate management of patients while addressing the severe risks, including multi-organ failure and psychiatric symptoms.