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In 2021, the preliminary results of the BEnefits of Stroke Treatment Delivered Using a Mobile Stroke Unit (BEST-MSU) were published in the New England Journal of Medicine, demonstrating improved disability outcomes for acute stroke patients treated on a MSU compared to standard transport to the Emergency Department by Emergency Medical Services ...
Eventually, researchers began to apply his technique to stroke patients, and it came to be called constraint-induced movement therapy. Notably, the initial studies focused on chronic stroke patients who were more than 12 months past their stroke. This challenged the belief held at that time that no recovery would occur after one year.
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Cerebral infarction, also known as an ischemic stroke, is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). [1] In mid to high income countries, a stroke is the main reason for disability among people and the 2nd cause of death. [2]
Ideally, people who have had stroke are admitted to a "stroke unit", a ward or dedicated area in a hospital staffed by nurses and therapists with experience in stroke treatment. It has been shown that people admitted to stroke units have a higher chance of surviving than those admitted elsewhere in hospital, even if they are being cared for by ...
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The speech was published as a healthcare manifesto called "Escape Fire: Lessons for the Future of Healthcare." Berwick draws a parallel between American healthcare and a 1949 Mann Gulch fire in Montana. Just as the healthcare system lies perilously on the brink of combustion, the forest fire that seemed harmless at first was waiting to explode.
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