How Do We Know Someone is Brain Dead?

[@TheIntenseMD]

In this video I explain the criteria for brain death and how it’s different from a persistent vegetative state. Let me know if you want to know anything else about brain death. 🧠

[@JJKid-yw7vk]

I have a question why does it take 2 days to make determine brain death Someone I know is on a ventilator and that’s the only thing keeping him alive is the machine ..the doc told me that the only part of his brain that works is him dreaming 💭 is that consider brain dead or does the brain have to stop working period to be considered brain dead ..

[@nickbadry4122]

My dad who's homeless and a heavy drug user..collapsed on a porch. He is thought to have been without oxygen to his brain for anywhere between 5-20 minutes, they think closer to 20 minutes. Coded twice on way to hospital. His eeg came back as being a 3 out 15. He's on the vent and they have him on a sedative. I'm going to have to make the decision on whether to take off vent or keep on the vent based on other family members are trying to push me to do. It will be 5 days this Friday. My question is he has done involuntary movements like coughing and moves foot when reflex is performed does that mean he's totally brain dead or his brain stem is working just not the rest of his brain or is the vent more then likely keeping organs alive?

[@jamiediseker9232]

2 years ago, my sister was declared brain dead. When found blue, we don't even know why. At least that's what her shady husband said. Hit her phone from me in the wall but gave me all of her belongings and her when he cremated her and would not Bury her. Cause it was too expensive. My brother being younger than me. What's holding it better together up in the hospital room? And it's not about drama so whenever he wouldn't continue telling us me and my younger brother. Why my Baby sister of 30 years old was like that. I thought that was shady and started asking him to tell them. He looked at them a certain way as if he briefed them about something. I walked out they followed me out and now today my brother declares that they remove me from the hospital. I know God damn well they didn't. They can pull up my CCTV from my sister's room. They did not ask me to leave. They didn't look at me weird, they didn't grab me. I walked out of my own recognition. They followed me out to the g****** parking lot. When I was on the phone with the detectives? I had it with him. By then he came outside took me and my brother home. After picking itself to take us over there to say Goodbye the day before. She bought my dog a harness in a leash. She always did things for me. She was wonderful mother of 3. She had to leave her baby's father. That was raising the kids with her because he was cheating on her with a boy. So she married a man that was giving her things that she didn't need. That man wouldn't tell the actual reason why my sister went into a brain death state. It is almost 2 years later and I can't fight alone. My brother Is the only one that was with me in that hospital room and in the ride to the hospital with homeboy. Talking about what he had to tell his daughter about my sister. The night before this happened, he didn't continue and I tried to get it out of him. He was scared to continue because he knew he was going down or losing his daughter and his wife. He wouldn't just lose his wife. His daughter's going down for killing my sister. My sister did nothing but b**** about. His daughter would not leave selling drugs out of their house and she did her drugs and it was fake drugs because her new husband gave her the drugs from his daughter or bought them from his daughter. His daughter thought he was killing 2 birds with one Stone by keeping the money in the house, taking it from the girl that was taken the money from Her daddy He owned his own home and would not make his daughter leave. They raised kids in the same house they sold drugs out of. I am going to do something about it, but it's not on his time. The government should have already asked for her phone and his and would have found out. He was enabling her to be drug-free. When she was fighting to get her kids back because of accusations. Accusations that I know were true now. He was helping her put the loose around her neck. And he acted like he loved her up until. She had to be cremated because it was too expensive when she was in life support. I went home list when my Grandpa died. My sister was in rehab. I put all of my things in my storage unit. My sister died. He gave me all of my sisters. Things that did not even help me. Keep my storage unit. And that was the only thing that we worked for was to keep that storage unit until we got a house. Because that was all of my family's belongings and hers. He didn't help me keep he needs to go. That is the story of jennifer In a nutshell. God pray for me

[@miamilady2278]

One of my friends is going through this right now in the hospital! I am devastated! Please pray for healing of all her loved ones and friends during this time! 😢😢 im so sad to hear this!

[@eYeZiQ]

I know two months later means the odds aren't so great, but I'm wishing you and your friend the best. One of my best friends recently lost his little sister after two weeks in a coma, and his family, which are now staying with me, are more than a bit distraught, and I'm trying my best to use my medical background to assure them that she was given the best treatment she could've been offered, but the communication process for families going through this sort of process really leaves much to be desired. In particular, unrealistic expectations where there should be none...

[@mrsquackers8368]

Thank you for this. My 33 year old cousin had a cardiac arrest 2 weeks ago. Last week she was found to be brain dead after the hospital put her into a medically induced coma. Then last Saturday they switched off her ventilator. I'm trying to understand it all. I am devastated.

[@TheIntenseMD]

I am very sorry for your loss. I hope you found this video helpful.

[@mihalkolyamin1811]

I am so sorry. I lost my Father 4 months ago from this. Hugs!

[@bettyhabets5460]

My husband open eyes tried to speak they said it was stumbled but he try to speak

[@youcrusty8630]

Sorry for your loss!!!!

[@davekerstiens9850]

I lost my sister last month. Began with acute cardiopulmonary edema. When they stopped with sedation they tested her and declared that she was brain dead. 64 years old and she is gone.

[@chunky9791]

I lost my only son at just 18 to a dui driver, he was pronounced brain dead eventually after 5 days. As a "common man" lol, a few suggestions I'd give for patients & Dr's is communication is paramount. The Dr. did a good job, but after all machines were disconnected with a fully collapsed R lung he began to sit up his arms crossing which is actually common but to not know this would happen made it much, much more traumatic. A hopeless father like me is still clinging on to any shred of insanity or hope because the other option that he's gone is just too painful to consider. They told us he wouldn't move in fact that he couldn't even reflexes he would literally just stop breathing in 20 seconds & that would be it quick, quiet & done no struggling. There's the Lazarus effect & common to brain injured patients to have their body respond almost like a pause button at the point of impact right before death so the body can flinch, tense up, etc. Only other thing is be mindful of the organ donation corporations. Nothings worse then having them come in 2 sometimes 3 times a day with papers to sign I get the whole process I'm a organ donar myself but people are in shock & grieving give them time if possible

[@Angelina6518]

Good to know! Thanks. I’m putting you in my Eternal prayer Basket. Courage! Mercy to you during your trials and grieving. We’re prayerfully battling through our nephew’s dying after a heart attack from a heroin overdose at twenty six (26). It’s excruciating for the (divorced) parents, siblings and cousins, etcétéra. Really zoo can understand the mystery of iniquity? The best therapy, Stations of the Cross, it all makes sense . Also the scriptural Rosary. Pray the balm of Gilead heal your wounds. Precious blood Jesus covering you now and for all Eternity. Know, you’re definitely not alone!

[@Naijagyal22]

@@Angelina6518 amen

[@debbiephillips601]

Our organ procurement agency doesn't really even talk to the family until after at least the first exam for brain death testing.

[@christineshultz7615]

We donated ours son's organs. I found lifenet to be very respectful and we requested for his organs to be donated after his passing was confirmed. Yes the process is alot and it sucks to deal with so much in that time. Our experience was very respectful and easy considering the circumstances. But then after death you have to deal with funeral home arrangements so that is a whole other necessary but unfun experience. Sorry for your loss.

[@Tori59065]

Thank you for posting this. This video helped me understand a lot.

[@SoulStarSketchin]

Man this is stuff I recall that happened to a cousin of mine years back. Luckily they didn’t go brain dead but it was looking very touch and go.

[@TheIntenseMD]

I hope they are doing okay now! Sounds like a stressful situation.

[@zahoorentertainment.6414]

My mother was brain death on 6 December during procedure of coiling of aneurysm. May Allah forgive her. Ameen

[@christineshultz7615]

I came here bc we lost our son to a brain aneurysm. I can't remember parts of the day including when the doctors showed us his brain scan. I'm told i was there and i remember parts of that day but i can't remember that snippet of the day. Probably a good thing it's blocked. I feel better knowing how much goes into the accurate confirmation of brain death. Doesn't bring my son back but i know there was no shadow of a doubt.

[@gayunicorn173]

My estranged father attempted suicide and is now brain dead. This video helped me understand things a little better.

[@TheIntenseMD]

I’m very sorry for your loss. I’m glad this video helped.

[@guskohlin5347]

This is me trying to take notes during a lecture

[@renukasingh5596]

My dad passed away on 6 feb 2024 ... Cause midline shifted by 14 mm to right side.... Declared brain death... He has all right before admit in hospital .. What is main reason cause brain death... Anyone explain me

[@sheilacarter7875]

When someone is donating their organs how do you know they are dead l have heard of people in comas who can't scream when they hear everything that is being said.That is scary

[@nilmaribeiropereira2392]

I was in my room with my son 15 years old child the night when he died and listening to this explanation of brain dead it happens just like that he was diagnosed with brain cancer named glioma

[@babymamax208]

What about someone who accidental over dose on fentanyl but not a fentanyl user , and MIR comes back with severe brain damage , what are chances in survival ?

[@TheIntenseMD]

Great question! Brain damage is a complex topic. We rely on imaging, neuro exam, and the neurologist (brain expert) to help us with giving a prognosis in each case. Something important to note is even if imaging doesn't indicate brain death - there still could be a severe degree of brain injury. In these cases, a patient would require supportive measures such as the ventilator and feeding tubes to survive, so it comes down to a question of what the patient's loved ones believe they would want in this situation and what quality of life is acceptable to them. Some people do not want to be kept alive if they are not able to interact with their environment/loved ones and are maintained by machines/artificial support. Sorry for the long winded response, but this is a complicated topic. I hope you found it helpful!

[@eYeZiQ]

@@TheIntenseMDLong-winded of that sort is always appreciated. One of my best friends recently lost his little sister after two weeks in a coma due to fentanyl or xylazine [10 minutes unconscious prior to paramedic arrival], and his family, which are now staying with me, are more than a bit distraught, and I'm trying my best to use my medical background to assure them that she was given the best treatment she could've been offered, but the communication process for families going through this sort of process really leaves much to be desired. In particular, unrealistic expectations where there should be none. A short period of breathing on her own without a ventilator doesn't indicate much of anything, but I don't know how to communicate that to them with out upsetting them. The brain stem is a powerful machine that operates in fits and starts with / without conscious intervention, if you ask me.

[@leilanidelouza4947]

My friend hung himself June 27th. He was without oxygen for 10 minutes. He’s able to breathe on his own now, but the dr said that he’s in a vegetative state. He’s in hospice, but is it all possible that he can come back from this? I just need someone to tell it to me straight. Sorry for posting this.

[@msmarauder37]

How is he doing now?

[@OurDreamsInMotion]

What happened??

[@randomfoxtv5963]

Yes it is

[@tafaramangosi]

recently lost my mom ,they said she had brain dead....just trying to understand it all

[@davidestep3342]

This is very good information. I have a question for you. I read where if any part of the brain stem is destroyed that you are brain dead. I know that the medulla oblongata controls vital functions but is it really true that the destruction of the midbrain or the pons can cause death?

[@TheIntenseMD]

The majority of the brainstem would have to be damaged for the patient to qualify for brain death. In this situation, the patient would not exhibit any of the vital functions we test for. It is possible for a patient to have a pontine or midbrain stroke and not have signs of brain death. As you stated, the medulla oblongata is the most critical portion of the brainstem. I hope this was helpful! Thanks for watching!

[@rjjvlog]

How about maam the patient is brain dMage but he woke up blink his eyes we have possibility hes be okay ?

[@msmarauder37]

My brother n law went into the hospital on Friday morning. He suffered some type of cardiac arrest that resulted to him passing out. He had brain swelling and was not breathing for a length of time before the paramedics came and revived him. He was rushed to the ER. He was experiencing these jerks/spasms every other minute. During these times his blood pressure would shoot to the roof and then go back down. They placed him on propanyl to reduce pressure and stop these jerks/spasms. They took him off the propanyl 24 hours before declaring him brain dead. Several people performed neurology exams on him/ water in ears pupil test, corneal reflex exams, ventilator stopping, EEG, im just not sure if they checked his levels to make sure that he had no propanyl in his system and a couple more other things you mentioned. Could the propanyl have caused him to fail these neurology tests? On the EEG machine the lines would spike up when he had these spasms but by them putting him on Propanyl they stopped. Was that brain activity? Could he have come back if they did not give him propanyl?

[@Raison_d-etre]

No. Obviously, the part of the brain that controlled heart beats was damaged, and therefore bp was not controlled. Propranolol is a very benign medication. It will not stop the heart, but it will calm it, and it did in your brother's case. It may have subtle effects on the brain but cannot do anything close to affecting neurological exams. There isn't a documented case of DOCTORS declaring a patient brain dead and subsequently proven wrong. The stories you may have heard do not involve DOCTORS.

[@mckenzieunique467]

Hi can swelling in the brain cause the pulp to not dilate

[@xBenny_Blanco]

Hello Doctor, I hope you can see this. I have a brother that's is currently on the hospital that has diagnosed with catastrophic Brain damage due to his heart stopping for between 10 and 15 minutes. They mentioned not getting oxygen to the brain and damaging it that way. There are many things that I don't understand because some doctors explain things a little different than the others. The tricky part is they thing that he is breathing on his own. They say that they chances of him getting better are not there because he didn't respond well to all the stem tests. How can a person be brain dead and still breath on his own?

[@han_abby1]

Keep talking to your brother and aask for and look for responses. It could take many months to see small improvements, but don't give up on him. My son had a similar event and wasn't even breathing on his own for the first few weeks. Look for other people's stories online and take hope and inspiration from them.

[@sharkaracouncil8812]

What if they have no brain activity but still has a hearbeat and is on the ventilator breathing over 30?

[@TheIntenseMD]

Great question. Breathing over the ventilator requires brain stem activity. So they do have brain activity but possibly very minimal. Apnea testing is part of brain death testing. Apnea means the patient is not producing breaths (absent of breath). If they do trigger breaths, then the patient is NOT brain dead, however they may still have severe brain injury if other functions are lost. I hope this answers your question. Thanks for watching!

[@sharkaracouncil8812]

@@TheIntenseMD thank you

[@alessiodimaria3320]

Please, could you talk about the case of George Pickering III? Would be really appreciated, bc that story made me really confused

[@LectronCircuits]

Brain Death can happen to anybody at any time (very grim). Let's be careful out there. Cheers!

[@hollymcknight8581]

What happens if you have someone who is totally blind, without light perception? Can you still shine a light in their eyes to see if they are brain dead?

[@ray1love1]

What if they are ipening thete eyes ?

[@rendomain21]

I have lost My mom last month to Brain Dead

[@cljoe35]

Just watching this after finding about anne heche

[@tacoguy210]

Diagnosing BD sounds expensive for the family 🥴

[@arlrub5040]

Is little brain activity the same as brain dead? Please help I need to know, my best friend's daughter is in the hospital and they said she had little brain activity. She just turned 18, 5 months ago.

[@han_abby1]

Keep talking to her, about people and memories, look for and ask her for responses, don't give up hope.

[@arlrub5040]

​@@han_abby1 The doctors in Canada do not believe in keeping someone on support with little brain activity. We were forced to take her off life support. She was breathing on her own for 13+ hours before she finally gave in. It was horrible and traumatic.

[@han_abby1]

@@arlrub5040 I'm sorry, I trust she had a peaceful passing with her family and friends by her side. Bless her.

[@Xgmzydyk]

Is the patient aware of death if they are intubated under sadation while going through a brain hemorrhage?

[@truthseekermd593]

Good question. I wonder this too.

[@marylandsworld3428]

Can the eyes dilate slightly if they are brain dead?

[@ojdafinone2091]

If the the pupils are huge even with lifht in it that is a sign of brain death

[@ojdafinone2091]

If the pupils change size there is still input from the vrain

[@marylandsworld3428]

@@ojdafinone2091 I’m sorry that was confusing. His pupils were huge and different sizes in each eye but when I brought my flashlight to each one they slightly dialed in both eyes.

[@ojdafinone2091]

@@marylandsworld3428 the person is not brain dead

[@medilyndevera28]

I'm here because of my sister in law🙏

[@dr5161]

I’m here because of my childhood friend

[@OurDreamsInMotion]

Great video and your eyes are gorgeous ❤

[@TheIntenseMD]

Thank you!

[@hollymcknight8581]

What if someone was totally blind, including, no light perception?

[@jamesbarbour8400]

The title asks 'how do we know someone is brain dead' ? Simple - they become a Politician !

[@bigmama4u]

Does brain hemorrhage can lead to brain death besides he is also going on dialysis at the age of 72? (end stage of renalkidney failure)

[@drSJV]

Great video, thank you! Haha, the kidney doctors or the heart doctors 😄❤️

[@SorakaOTP462]

Yeah I should do this test to half of my teammates in league of legends.

[@bettyhabets5460]

Can they ope,there eyes

[@TheIntenseMD]

No, someone who is brain dead does not have the ability to open their eyes. They cannot perform any voluntary action.

[@charlevoix2]

i heard people have puke come out of there mouth because there body relaxes and all the food comes up from there stomach is this true right after they pass?

[@TheIntenseMD]

I have never seen this happen.

[@trevie25]

This is interesting, you say it’s unethical to keep someone alive that is brain dead. My mother has been calling me brain dead for decades

[@Cassxowary]

*easy. Ask them what country they’re from. If they say America they’re absolutely brain dead. If they say the US, maybe only partly… or extremely rarely, not at all. But in all seriousness (even though that’s partly true), good info and vid, thanks! Have a good weekend!*

[@johnclark980]

This lady is full of crap. Organ donation is BIG business. 'Patients ' organs are worth millions to them. It takes a very very very long time for the brain to heal.

[@zenheretic]

bud thinks he knows more than the medical doctors while not realizing the video is about him

[@johnclark980]

'Medical' 'doctors ' and hospitals are all about the $$$$$$$$ , don't be so naive- it's all a business. Medical mistakes are one of the leading causes of death , it's OK if you drank their Kool Aid, you'll realize you're wrong one day . Have a blessed day.

[@lilyetitv]

*Someone looks tired*

[@HailVictory-gs8wx]

I'm Brain Death did too much Meth

[@adriennemiller.music.]

u have such creepy eyes 👁👄👁

[@happy3845]

@Adrienne Miller : You are creepy & lack empathy, and you lack a brain filter. Maybe you are a walking brain dead non - human entity. 1- if you disagree, get psychological help. 2- if you know this to be true, carry on, we know you are not a human being.

[@rabailuk9229]

Do u think this is apolite comment for someone? Does she has control over it? Will u say this on someone's face? Be ethical!

[@lisarosa4893]

Not nice!

[@randomfoxtv5963]

I mean look at you tho lol 😆

[@adriennemiller.music.]

@@rabailuk9229 yes, i will. and people with healthy self-esteem will laugh at it. if someone tells me an observation about my look i don’t get offended. i think it’s clear when someone actually WANTS to insult somebody. THEN you should get offended.

[@kaneshalong4016]

What if pupils are fixed,dialated but when turn head eyes still move opposite direction what’s that @TheIntenseMD