The aim of study. To identify and compare the predictive power of prehospital stroke scales in the early identification of stroke patients. Materials and methods. We studied the performance of prehospital stroke scales (Cincinnati Prehospital Stroke Scale, Los Angeles Prehospital Stroke Scree, Face Arm Speech Test) and ED stroke scales( Recognition of Stroke in the Emergency Room Scale and National Institute of Health Stroke Scales) in the early identification of stroke patients, and compared them statistically. Results: A total of 1, 983 patients with ischemic stroke were evaluated in our study. The most affected categories of age being 60-69 years (33.1%). Emergency prehospital personnel stroke diagnosis was correct in 77.2% of stroke patients who were initially evaluated by them. There was no difference in the proportion of strokes correctly detected by the CPSS, LAPSS or FAST. The ROSIER scale for stroke diagnosis gave a sensitivity of 89%. The NIHSS is a useful and rapid tool to confirm the diagnosis of stroke, localize the stroke lesion, identify the culprit vessel and provide early prognosis. Conclusion: Our findings showed that the medical dispatchers and the prehospital emergency medical personnel could efficiently use the FAST, LAPSS and CPSS as a screening tools for early identification of stroke patients. Prehospital scales varied in their accuracy and missed up to 22.8 % of acute strokes. The ROSIER and NIHSS were effective for emergency medical personal of the ED.