Checking Pupil Reaction [Quick Tip]

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First responders often check pupil response in their patients during patient assessment. I give a quick tip for checking pupil reaction when you do not have a pen light.

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Please tell us what does it mean when pupils are dialated, fixated, pinpointed or one different size than the other.Thank you.

turkishninja
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Remember this acronym:  PERL =  Pupils Equal & Reactive to Light.  As SM said the pupils should be of equal size in both dilated and restricted conditions.  And, the rate of change while they are moving from one state to the other, in either/both directions should also be equal also.

DocLarsen
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Great tip...
I would love to hear a Part 2, what the lack of dilation may mean and possible actions to take.

brucewayne-cave
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Great tip, great video! Keep up the good work!

richard
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Thanks brother. Great info and how about what should we do if one reacts and other doesn't?

dslag
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Amazing how common sense works every time. God vid.

mikedifeo
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Great tip. I work a lot of concerts as a professional sound / lighting operator and I frequently see overdoses or adverse reactions to drugs when I am working electronic music parties (DJ stuff). While there is almost always medical personnel on site that attends to the victims long before I am a first responder, I often fear I will be the only one around who can do anything.

Couple questions in that regard (note : yes I will be taking more thorough first aid training in the near future, but until then...) :

1) What should you do if you know the patient took a bunch of drugs and is twitching on the ground?

2) in the spirit of this current video (pupil dilation), what should we be looking for, and what should we do if pupils aren't reacting as per 'normal' ?

Thanks and again, I really appreciate the videos.

PartyChicken
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What causes the eye to become slit like a cats?

victoriajohnnyrodriguez
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How long should you keep your hands over their eyes for proper dilation; and will constriction be the same amount of time as dilation?  Appreciate it.

ZedDaySurvival
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I was tRiPpInG out while watching this vid! The focus was cRaZy!

SoCalPatriot
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I’m a lifeguard and we use this all the time

jakeshultz
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As one that has no medical training I have no idea what a normal pupil reaction is and what an abnormal one is.

mbc
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Well done. I wonder about the troll who did the thumb down, tho

tomt
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whats up with the camera shifting and zooming in and out?

theguy
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Rebound dilation.... a sign of recent cannabis use

kennyhipps