The goal for the emergent management of stroke is to complete the following within 60 minutes of patient arrival Assess airway, breathing, and circulation (ABCs) and stabilize the patient as necessary Complete the initial evaluation and assessment, including imaging and laboratory studies Initiate reperfusion therapy, if appropriate Critical treatment decisions focus on the following: The need for airway management Optimal blood pressure control Identifying potential reperfusion therapies (eg, intravenous fibrinolysis with rt-PA or intra-arterial approaches) Involvement of a physician with a special interest in stroke is ideal. Stroke care units with specially trained personnel exist and improve outcomes. Ischemic stroke therapies include the following: Fibrinolytic therapy Antiplatelet agents  Mechanical thrombectomy Treatment of comorbid conditions may include the following: Reduce fever Correct hypotension/significant hypertension Correct hypoxia Correct hypoglycemia Manage cardiac arrhythmias Manage myocardial ischemia Stroke prevention Primary stroke prevention refers to the treatment of individuals with no previous history of stroke. Measures may include use of the following: Platelet antiaggregants Statins Exercise Lifestyle interventions (eg, smoking cessation, alcohol moderation) Secondary prevention refers to the treatment of individuals who have already had a stroke. Measures may include use of the following: Platelet antiaggregants Antihypertensives Statins Lifestyle interventions if your doctors not treating by above methods you can consult nearest neurologist they will help you