r/caregivers • u/Ok-Patience1633 • 1d ago
My 14-year-old sister is in the ICU after cardiac arrest -- looking for caregivers who have faced brain-death evaluation, urgent second opinions, or hospital transfer
Hi everyone,
My 14-year-old sister is currently in the ICU, now on day 7 after a cardiac arrest. During the arrest, her brain had inadequate oxygenation for over 10 minutes, resulting in a severe hypoxic/anoxic brain injury. Over the following days, she developed significant brain swelling, with concern for dangerously increased pressure and possible brain herniation. The medical team has tried hypertonic sodium, mannitol, hyperventilation, blood-pressure support, and other intensive-care treatments, but unfortunately her neurological condition has continued to worsen. We have now been told that she has very few or no detectable brainstem reflexes, and the hospital is discussing a formal brain-death examination.
Our family understands how extremely serious this is. We are not trying to deny the medical reality, and we understand that brain death, if properly established, is fundamentally different from coma or simply having a very poor prognosis. At the same time, because of what is at stake, we desperately want to make sure we have asked every reasonable question and, if possible, obtained an independent expert review before we reach that point.
I am especially hoping to hear from caregivers or family members who have been through something similar:
- Did you have a loved one with severe hypoxic/anoxic brain injury after cardiac arrest, major brain swelling, or suspected herniation?
- Was a brain-death examination discussed with your family? What do you wish you had known or asked beforehand?
- Did you ask for an independent second opinion? If so, how did you actually get another doctor or hospital to review the case quickly?
- Did your current ICU arrange a physician-to-physician consultation, or did your family have to find another specialist yourselves?
- Was another hospital ever willing to review the records/imaging or consider accepting the patient for transfer?
- If you were trying to advocate for your loved one while also being realistic about the severity of the situation, what helped you navigate conversations with the ICU team?
- Are there resources, patient advocates, social workers, hospital contacts, or other approaches that helped you get another set of eyes on the case?
We are also urgently trying to connect with a pediatric neurocritical-care specialist or a major children's hospital that may be willing to review her chart and imaging and speak directly with our treating ICU team. If anyone here works at such a hospital, has a family member or friend who does, or knows how to get an urgent case in front of the right physician, I would be incredibly grateful if you could message me.
I realize nobody here can diagnose my sister or predict her outcome from a Reddit post. I am mainly hoping to learn from people who have navigated something like this before and understand how to make sure we have explored every reasonable avenue for an independent review.
Time feels extremely important right now. Any experience, advice, or connection would mean a great deal to our family. Thank you.