🛑 Your lamp is not a crystal ball.

Sentencing a patient in the first minutes post-cardiac arrest by only looking at the pupils is the classic "autopilot" that physiology does not forgive.

That pupil is contaminated by anesthesia, opioids, and perfusion alterations. The real neuroprognosis (2025 guidelines) requires:

⏱️ Time (>72h).

🧼 Zero confounders (sedation/hypothermia).

🧩 MULTIMODAL strategy (EEG, biomarkers, imaging).

The pupil guides, but never dictates the sentence alone.

👇 Comment PUPILA and I'll send you a practical summary by DM.

🔗 Or read the full evidence here: