Equine Emergencies 101: When to Call the Vet (and What to Do First)

No matter how experienced you are, equine emergencies can be stressful and overwhelming. Knowing when to call the vet — and what to do while you wait — can make all the difference in your horse’s recovery.

What Counts as a True Emergency?

Knowing when to call the vet can save valuable time — and potentially your horse’s life. Here are some of the most common emergencies and why they’re so serious:

Colic

Colic is one of the most common emergencies in horses and can range from mild discomfort to life-threatening intestinal twists. Symptoms include:

  • Repeated rolling or getting up and down
  • Pawing, restlessness, or flank-watching
  • Refusing food or water
  • Fewer droppings than usual or none at all

If you suspect colic, call your vet immediately. Do not walk the horse endlessly — short, quiet hand-walking is fine, but overexertion can worsen the issue.

Excessive Bleeding

A deep wound or laceration that bleeds freely should never be ignored. Apply clean pressure using gauze or a clean towel, but don’t remove soaked bandages — simply add more layers. If a leg is bleeding, gently bandage it until the vet arrives.

Non-Weight-Bearing Lameness

If your horse refuses to bear weight on a leg or is hobbling severely, this could indicate a fracture, hoof abscess, tendon injury, or joint infection. Keep the horse still and confined to a stable or small pen. Avoid transporting unless advised by a vet.

Eye Injuries

Even minor eye issues can deteriorate quickly. Swelling, squinting, tearing, cloudiness, or discharge all warrant urgent attention. Horses rely on good vision for safety and confidence — don’t delay seeking treatment.

Choke

Choke in horses is an oesophageal blockage, not an airway obstruction, but it still requires immediate veterinary care. Signs include coughing, drooling, nasal discharge with food particles, and distress while eating. Avoid trying to flush the horse’s mouth with water — this can make matters worse.

Severe or Puncture Wounds

Injuries near joints, tendons, or the chest cavity can be deceptive — what looks like a small puncture may penetrate deeper structures. These should always be assessed by a vet. Infection or joint contamination can set in rapidly.

Foaling Complications

If a mare is in labour for more than 20 minutes without delivering a foal, or if you see only one hoof, a red bag or abnormal presentation, call your vet urgently. Equine births can go wrong quickly, and early intervention can save both mare and foal.

If you’re ever unsure, it’s always better to call and ask — catching a problem early can prevent serious complications.

While You Wait for the Vet

Here’s what you can do to help your horse and prepare for the vet’s arrival:

  • Keep the horse calm and safe — move them to a quiet area, away from other horses
  • Have your emergency kit ready — include gloves, bandages, a thermometer, and saline
  • Avoid giving medication unless specifically instructed by your vet
  • Note what happened and when — this information helps your vet assess the situation quickly

Be Prepared, Stay Calm

At Lingfield Equine Vets, we’re always here when it matters most. Whether it’s a late-night colic or an unexpected injury, our team is on hand to provide swift, expert care.

You know your horse best – if you’re worried, we’re worried. Never hesitate to call us; we’re always here for you, day or night, and more than happy to help.

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