Which statement is NOT true about recovery from a pediatric sports-related concussion?
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For adolescents with dizziness, neck pain, and/or headache for more than 10 days, cervicovestibular rehabilitation is recommended.
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Use of the Sport Concussion Assessment Tools (SCAT) is recommended the first 72 hours after injury; if more than 72 hours post injury, experts recommend use of the multimodal Sport Concussion Office Assessment Tools (SCOAT6 [13+] and Child SCOAT6 [8–12]).
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Up to 30% of children and adolescents experience persisting symptoms after concussion, defined as symptoms lasting for 4 weeks or longer after sports-related concussion.
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For adolescents with persistent symptoms for more than 30 days, active rehabilitation and collaborative care may reduce symptoms.
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Strict rest is recommended before return to physical activity.
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Which is NOT true of xylazine, a common adulterant in fentanyl street drugs?
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Xylazine use has been associated with open skin ulcerations and chronic skin wounds that can occur regardless of route of administration.
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The sedation caused by xylazine is reversible with timely administration of naloxone.
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Xylazine is a centrally acting α2-agonist, which means it's in the same class of drugs as dexmedetomidine, clonidine, and tizanidine.
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The greatest prevalence of xylazine is currently in the Northeast U.S. — especially in Pennsylvania (notably, Philadelphia), Maryland, New York, and Connecticut.
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Xylazine's effects include sedation, analgesia, and muscle relaxation; it also can cause hypotension and bradycardia.
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