![]() He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Now, consider a patient with these findings on clinical examination:Ĭhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. ocular prosthesis – the normal pupil may be relatively constricted due to ambient light.post-traumatic iridocyclitis (e.g. direct facial trauma).If an acute third nerve palsy is accompanied by pupillary mydriasis an aneurysm arising from the posterior communicating artery must be excluded.parasympathetic nerves are in the superficial parts of the nerve, so tend to be more vulnerable to compressive lesions and spared by vascular lesions (e.g. ![]() Oculomotor nerve palsy: (3rd cranial nerve) Pharmacological blockade: typically topical mydriatic drugs used to facilitate ophthalomological examinations. Pharmacologic blockade is the most common cause of a fixed dilated pupil in an otherwise normal healthy patient.Ī fixed dilated pupil in an awake patient is NOT due to herniation.Ī single fixed dilated (mydriatic) pupil can be caused by: ![]()
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