1/13/2024 0 Comments Blown pupil traumaImportantly, the presence of a single fixed and dilated pupil was correlated with longer TFC but no increase in likelihood of in-hospital mortality. The most significant of these characteristics were Rotterdam head CT scores, high impact traumas, and the presence of a single fixed and dilated pupil. The 3 significant variables from the Cox regression model that explained the most variance were used to create a 4-point TFC score. Additionally, patients who sustained injuries from falls from standing height had a shorter average TFC. with BVM assist, and a blood pressure of 210/140. An EMT from the engine obtains a set of vital signs and reports a heart rate of 48/min., respiratory rate of 12/min. TFC was anticorrelated with age, ISS, Rotterdam score, and the presence of a single fixed and dilated pupil. Steve’s rapid trauma exam reveals a contusion and crepitus to the left temporal region of the skull and a dilated and sluggish left pupil. In-hospital command-following was anticorrelated with age, ISS, Rotterdam score, and the presence of a single fixed and dilated pupil (p < 0.05). In-hospital mortality was associated with older age, higher Injury Severity Score (ISS), higher Rotterdam score (head CT grading system), and the presence of bilateral fixed and dilated pupils (p < 0.01). Mydriasis is the dilation of the pupil, usually having a non-physiological cause, 3 or sometimes a physiological pupillary response. It may lead to an increase of Pupil from 4mm-9mm. Mydriasis is known to have a pupil diameter of about 4mm which is more than 33 of the iris. Mydriasis is colloquially known as blown pupil. The pupil remains dilated or excessively large even in the bright environment. The average age was 50.5 years, and 122 (30.3%) patients were women. Mydriasis is characterized by a prolonged abnormal dilation of the pupil. There were 402 adult patients who met the inclusion criteria for this study.
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