Background <p>Strokes are common neurological emergencies that require rapid diagnosis to minimize long-term damage. Prehospital detection and triage play a&#xa0;critical role in patient outcomes.</p> Objective <p>How effective are different prehospital diagnostic tools for stroke detection, and which triage strategies optimize patient care?</p> Methods <p>The article compares prehospital diagnostic tools for stroke detection and evaluates different transport strategies. Case studies illustrate their practical application.</p> Results <p>Traditional stroke diagnosis methods have limitations, particularly in identifying strokes in the posterior circulation. Newer diagnostic tools that incorporate additional symptoms, such as dizziness and vision problems, show higher sensitivity. The choice of triage strategy depends on the severity of symptoms and regional factors. Direct transport to specialized centers is beneficial for severe strokes, while initial stabilization at nearby units is more efficient in rural areas.</p> Conclusion <p>Modern diagnostic tools offer better sensitivity for prehospital stroke detection. Regional cooperation and the selection of appropriate triage strategies are key to improving stroke care.</p>