Double Board Certified Intensivist (Internal Medicine + Critical Care Medicine)
All things ICU, medical student and resident education, and patient education
Breaking down topics such as life support, cardiac arrest, organ failure.
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It's administration. Not association
I had extensive CVST a year and half ago cause of birth control pills. My last MRI showed no clots but I still experience some tingling sensation in my right side of the body especially when it's cold. Will it be there forever or get better with time?
thanks so much!! My 62 yo brother is awaiting a liver transplant for 4th stage liver failure with alcoholic cirrhosis. He didn't think he had a drinking problem and as soon as he heard his AST/ALT levels he hasn't touched a drop. Could. this be a genetic weakness?
Have you ever heard of 5q14.3 deletion? My 9 month grandbaby’s genetic testing just came in with this diagnose. Please share any detail information or advice. 😢
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.
My wife is a recent survivor, so naturally I'm interested in after care, but having some trouble finding info.
I am undergoing evaluation for liver transplant and a lot are rejected. I might be rejected because I have past surgeries for hernias with wire mesh, a right hemicolectomy as well as having a big clot blocking my portal vein. Calcium throughout my heart and veins near my spleen. I have a 895 calcium score around my heart. Be straight up with me, they are probably not going to accept me for transplant. It's a shame because I like being alive?
I'm Brain Death did too much Meth
Look at Joe Biden.
This is a wonderful, thorough, clear description and explanation of stroke - its symptoms and its treatment. Thank you!
Extensive CVST here, 7 years now passed and my case required a hemicraniectomy
The title asks 'how do we know someone is brain dead' ? Simple - they become a Politician !
I have early onset of asymptomatic COPD. I also have 90% plaque in right subclavian artery. I have been referred to a cardiovascular thoracic surgeon. They want to put me on a ventilator. This terrifies me because I feel you check in and don't check out. I'm worried about complications ventilators can cause. Are there different types of ventilators? It may not be the same as what I'm thinking. Could you clarify my concerns so I'll know what questions to ask.
Med 3 here on my IM block - so helpful, thank you!
Why would anyone wants to die
Baging with the person's normal RR is good, but not on compression and if known BP is liw, ti bag gently but not two slow, just not strong!
Sorry, the first extra ought to be oxygenation. We can bring a heart back, but not a brain.
Thank you for this! I plan to present this to my students this week.
Ok im out
Very helpful... only thing you can do is summerize the names of the medicAtions in the comments
I would like to see all airports across the US build a doctors' office inside of the airport. Sometimes, these medical emergencies are unpredictable but sometimes they aren't and the airline staff (who aren't medical professionals) are not always able to reason with these passengers and their families as to why they shouldn't board the plane due to their medical conditions. Often times, these people who are unreasonable end up having an emergency medical problem on the plane and it disrupts not only the passenger in critical condition but the other passengers as well.
This happened through strangeling
I experience being 3 places at once I can't see much but hear things including myself. The first 2 times I experience my life going backwards going through my life experiences while watching what was happening 2 me and saying something is wrong . Now when it happens its black and all I can do is hear I get we iezures niw and my head aches migraines make me sick
Hi OK so I near 2 death experience. I want to know does ur body start flopping like a fish when u go into shock and how can it effect ur brain when it has happened maybe 7 to 8 times in a life time. I've been suicidal now if something like a scarf I flop very quickly I have headaches everyday since December
My mom ended up in a vegetative state and on life support a few months ago, I noticed tears falling from her eyes only after the decision to take her off life support was made. Even though the chance was slim I still feel like if she was given more time she would’ve pulled through. She was a fighter like no other, and she continued fighting for over half an hour after being taken off life support. She didn’t take her final breath until I told her it was ok, that she didn’t have to suffer anymore, and that I loved her. One final tear fell down her face as she took her final breath. People have recovered from her exact scenario but she would’ve needed more time. I know it’s selfish but I begged for her to be monitored for one more day. I wanted to wait until she had no brain activity or until her heart stopped on its own, so I would at least have the comfort of knowing that there wasn’t a chance of recovery. I knew her better than anyone and she always told me that, and I know damn well she wasn’t ready to go that day, she wanted to keep fighting, and my god did she try. I just turned 17 this month, my dad passed away when I was 10.
Although his family never said what his cause of death was, an ex of mine began acting very confused and angry on Facebook. He had posted that he needed a liver transplant, and that he’d lost a severe amount of weight. Also said he’d had problems walking. Later photos revealed a dramatic change in appearance too. He looked like he’d aged 50 years. He’d been a heavy drinker when I was with him so I can only assume he had cirrhosis caused by alcoholism. He’d written to me shortly before he died, claiming he’d come all the way to Hawaii to see me and was buying a house here. Never saw him because he Stayed two nights and left, or so he claimed. It seemed so far fetched I was forced to conclude that he was experiencing severe confusion from his liver disease. RIP, it was probably an awful way to go.
Like my father who had that bc he drinks too much pops and drinking coffee and sodas too & he wad eating too much junkfoods that is a no no no & yeah, the motorcycle accident the plice but he was dead but he wasnt and this time it was for good. It hapoen he was crashing on us. And he has a head injury. My dad Dennis Alexander bc mortgage beginfailing ) he has not good to lose a father my dad Dennis Alexander .
yeah its like my dad but he dosent have organ failure
Today, my sister and I will tell my mother's care team to take her off of her trach/ventilator.
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.
bud thinks he knows more than the medical doctors while not realizing the video is about him
'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.
My mom got ARDS last year after blood transfusions. She was in the ICU for 3 weeks and she survived. Her lungs are damaged and she uses oxygen at home, but sometimes she forgets to use the oxygen and her Spo2 goes down to 73% which is too low. A year later she is now back in the ICU because of aspiration pneumonia. She is 80 years old, and she was a heavy smoker for many many years although she has not smoked in the last year. Have you seen ARDS in the same patient twice?
Hi! Part of my job is to determine critical care charges in the emergency department and these medication explanations are super helpful! Thank you!!
thank you for posting this video. It help answwer some of my questions.
My sister lost her life , after 2 nights in the icu. Her husband knew she was pro life. At 54, she left behind a 16 yr old son. He raced against tine, so she wont be able to wake up. He was coerced by his family. My sister is none deserving of tgeir precious son that works at bae. I honestly did not see this coming. She tokd me of the evil women trying to get rid of her, not their, not their own kind. I know tge tgreats they played with her. Manipulative bs shots within 28 yrs. They think no big deal but i know why after 2 days, her husband signed dnr and dni. His compliance to his family. I call it murder!!!
Brain death is not real death, it was made up solely for live organ harvesting without full general anesthesia! Also othe aponea test, its sole purpose it to inflict sevear brain dammage as it does do so, by suffication, taking away or making much less likley of a full or reasonable recovery to happen.
I wonder why my G.I. doctor told me that a person could live for at least 15 years after the diagnosis of cirrhosis of liver. I was diagnosed in june of 2023. My meld score is above 4, ist stage compensated. Non alcohol. I did drink heavy off and on, on weekends only for about 22 years. I havent touched alcohol for 22 years. My liver functions as alt and ast were always normal until 6 years ago. I have had fatty liver for the last 20 years, they think thats what caused the cirrhosis. They never told me that fatty liver to turn to cirrhosis way back 20 years ago? I'm 64, diabetic and some autoimmune disease. Right now im noy too bad, I get tired very easy and sometimes so.e swelling in just my left leg. I have mild portal hypertension, im on a low dose betablocker, and a B.P. pill.
Thanks doc ! . Amazing and informative videos. I learn so much from them. I really appreciate all that you guys do. Keep up the good work !!
Removing life support is MURDER!!!!!
So thinning blood medications can cause brain to bleed? 😮
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
I remember googling statistics like this a couple of years ago and the survival rate to discharge for in hospital cardiac arrests was like 20%. And only like 12% of people survived for even one year. Is it actually possible for a heart to completely heal and a surviours have a normal life span if for example, the reason was a drug overdose, drowning, electrocution, a temporay illness or injury in someone who was previously and otherwise healthy? Or will a cardiac arrest pretty much always eventually be a premature death sentence? I'm curious because a friend of my mum's friend has a child who almost drowned, but was saved by CPR, and I know of a couple of (young) people who have been brought back after suicide attempts. I can't for the life of me find it now, despite looking before making this comment, but I also remember seeing a page which showed the % of surviours who were still alive after 1, 2, 5, 10 and 15 years of their cardiac arrest and it kept getting lower every year it showed. :(
Thanks for a very informative video! I received a liver transplant almost 3 years ago. I had NAFLD, Hemochromatosis and Alpha-1 Antitrypsin Deficiency. By the time I was diagnosed, I had cirrhosis, varices and hepatic encephalopathy. I managed my symptoms and underwent therapeutic phlebotomy, but the damage was done. Finally, a hepatocellular carcinoma was discovered, and I was evaluated for transplant. I was placed on the list and received a new liver 28 days later - after two false alarms. The third time was the charm. For those who are suffering from liver disease, I want to tell you to listen to your doctors, don’t ignore symptoms, and pray. You, too can get a second chance at life.
Can a 80 year old woman could get liver transplantation?
My sister is on day 5 they removed everything except the IV drip of morphine. She is still here. She responds by opening her eyes when her name is called. I asked the nurse; “if her blood pressure is good, her kidneys are good, heart rate and breathing are steady, what will she die if?” The nurse replied, “Starvation”. If I starved a dog to death I’d be in prison. I really hate not being able to say what I see in the ending of my sister’s life. What I will say is that if even one family member is not on the same accord - listen to them, hear them out and allow others to join in a mature conversation. My sister is fighting for her ice after surviving cardiac arrest, pneumonia following aspiration, serious infections, the list goes on. And I feel her reward is starvation. Very hard to watch. Be open minded in Family conversations, there is no room for self pride in this process. God bless all who are looking for support
Excuse me but what exactly are you smiling for? Didn't strike you as strange that no other medical channel had cheery thumbnails for such devastating topics? Guess not. Great topic coverage though
A technical correction on the "amount of oxygen up there" compared to sea level. At ALL levels of the atmosphere, the oxygen level is exactly the same; what differs is the partial pressure of oxygen at altitude.
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
lol so I cant wait to see my CT because I have been having strokes since 2017 until now I am just now realizing lol. I cant even tell how many I have had since but there has been a lot, The only one I was aware of that I had one is in 2017 cause I had the face drop on one side. Im curious how I am still alive right now lol. I will update when i get results back etc! Thanks for the video!
Thank you for posting this. This video helped me understand a lot.
Just out of curiousity if someone were to have a sudden allergic reaction that resulted in something like anaphylaxis, and they were over the Atlantic where turning around might not be an option. Do they have enough supplies to stabilize someone or reverse the anaphylaxis until they can land which can be several hours?
It depends on the sign and symptoms of the patient. If the patient is stable and doing okay with the first dose of Epi and Benadryl, then I would monitor that patient for the next few hours until we land, but if the pt airway, breathing, or circulation is compromised and that first Epi didn't help much in 10 mins or so, I would want to land asap and tell them to have an ambulance standby when we land. At the mean time, give the second dose of Epi, try some bronchodilator as needed, and watch that patient like a hawk.
What made you think she was having a heart attack? Fainting and low bp alone would not make me think heart attack especially if this was a younger woman. Curious as to what her other symptoms were?
A lot of women and diabetic patients can have mild symptoms or even asymptomatic at all when it comes to heart attacks. I had a patient came to my ED with toothache, but turned out it was an NSTEMI (which is a type of heart attack).
@@davidnguyen7747 I know, that's why I'm asking what her other symptoms were. While an MI can present in different ways it would not be in my top 3 strictly based on fainting and low bp in a young woman.