02/10/2026
SAVING A HEART INC
đźš‘ Unequal Pupils (Anisocoria)
Think: NEUROLOGICAL EMERGENCY
When you see unequal pupils, your mindset shifts immediately.
This is a brain problem until proven otherwise.
Possible Causes:
• Stroke
• Brain bleed
• Head trauma
• Increased intracranial pressure
• Post‑seizure
EMS Mindset:
“Unequal pupils = think brain.”
Early recognition saves lives.
Fast assessment protects outcomes.