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When giving first aid, it can be difficult to assess a person's pupil response. It's important to explain what you're going to do and ask for permission before touching them. Also, avoid having too many people touching the patient at the same time. When providing first aid, consider that pupil response may be hard to assess. Explain in advance what you are going to do. Ask permission before touching them. Make sure not to have too many hands on the patient at once.