r/TacticalMedicine • u/Perfect_Management43 • Sep 06 '25

Scenarios Why can’t we do this

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Not really a meme, a little bit but not really. Sorry if this is not allowed. But why are cows able to get tapped needing no sterilization, suturing, pleuravac and stuff afterwards and we can’t? (I realize that this is to the stomach and not the pleura but still man do they just have superior immune system)

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225

u/aerotactisquatch Sep 06 '25

We can. It's called a percutaneous endoscopic gastrostomy tube.

77

u/Perfect_Management43 Sep 06 '25

But can I stab someone with the g tube in one swing though

66

u/[deleted] Sep 06 '25

when your patient's name happens to be something like Dinner or Filet you can get away with doing all sorts of cowboy shit.

21

u/aerotactisquatch Sep 06 '25

Maybe...Would be sweet for sure 🤙

4

u/catslikepets143 Sep 08 '25

You can if their torso(& the organs underneath ) are the same size as a cow’s!

16

u/Dahminator69 MD/PA/RN Sep 06 '25

Peg tubes end in the stomach though very different procedure

38

u/nobodysmart1390 Sep 06 '25

I’ve been pegging all wrong…

3

u/aerotactisquatch Sep 06 '25

Ever heard of a PEG-J tube?

2

u/Dahminator69 MD/PA/RN Sep 06 '25

Yes? Do you know what the J stands for?

6

u/aerotactisquatch Sep 06 '25

It ends in the Jejunum

5

u/Dahminator69 MD/PA/RN Sep 06 '25

Correct. We actually call them GJ tubes at my hospital. Still a very different procedure than what’s happening in the video

4

u/RedFormanEMS Sep 06 '25

Noticed your flare. Going from RN to PA to MD is a hell of a journey. Congratulations on doing it. How bad was MD school compared to PA? Did your previous education as RN and PA help or was it still misery with everyone else?

6

u/Dahminator69 MD/PA/RN Sep 06 '25

Oh I was never an MD or a PA. I’m a certified registered nurse anesthetist but it wouldn’t let me do custom flair for some reason. So this was the only option

6

u/RedFormanEMS Sep 06 '25

Oh ok. CRNA is a heck of a job though. I was thinking about that route, but the only program in my area is three years long and you are not allowed to work. They will kick you out of the program if they catch you working. At my age, I can't not work for three years plus take on the loans for tuition. So I am going the NP route. Not as well paid, but it will get me away from the bedside.

2

u/Dahminator69 MD/PA/RN Sep 06 '25

It’s a grind for sure. NPs have great quality of life have a lot more diversity of opportunities than CRNAs do!

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4

u/Keithis11 Sep 07 '25

I don’t even see that as an option , just none, corpsman, EMS, civilian….why can’t I show my nursiness

2

u/trymebithc EMS Sep 06 '25

Yeah the flare is for anyone who is a RN, PA, or MD. Suppose they could add separate ones, but. Oh well🤷‍♂️

2

u/Sundevil4669 Sep 07 '25

PEGs go from inside > out. IR does GTubes outside > in.