Recognition and management of acute stroke should follow the FAST principle. FAST is the international method of rapid recognition and management of stroke. F refers to Face, observe whether the corner of the patient’s mouth is skewed when he smiles, and whether there is any asymmetry; A refers to arm, arms raised flat, observe whether there is weakness, and whether there is any drooping phenomenon; S refers to speech, listen to the patient’s speech, whether there is slurred speech and difficulty in expression. T refers to telephone call, if any of the above three conditions, you need to immediately call the emergency 120 phone, so that the ambulance to transport the patient to the conditions of the hospital to go to the emergency room. In addition, T is also the meaning of time, that is, to seize the time to get effective treatment. Acute stroke patients should immediately seek medical attention, 4.5h after the onset of thrombolysis can be used alteplase, more than the time window can be used in accordance with the medical advice of aspirin, clopidogrel and other drugs for treatment.