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Emergency and Critical Care

The Equine Medical Center is here to help with your horse's emergency and critical care needs. As the largest and most comprehensive equine hospital in the region, we offer unparalleled emergency services 24 hours a day, 365 days a year. In the event of an emergency, call 703-771-6800 to reach our specialists.

Specialized facilities and comprehensive care

Emergency and critical care specialists complement and support the faculty team at the Equine Medical Center. They are board-certified by the American College of Veterinary Emergency and Critical Care (ACVECC) and additionally hold board certification in either internal medicine or surgery.

Supported by highly skilled clinical staff and equipped with state-of-the-art facilities and life-support equipment, these specialists provide continuous monitoring and care for patients experiencing a wide range of emergencies.

  • Patients that require intensive and critical care, such as those recovering from emergency surgery, neonate foals that need intensive care, and high risk mares are monitored and treated by a team of specialists in our ICU.
  • Our five-stall Level 3 ICU is equipped with an array of portable monitors, fluid pumps, and an oxygen delivery system.
  • Patients presenting with severe musculoskeletal injuries requiring surgical intervention and intensive postoperative care are closely monitored by our team of specialists in our ICU.

  • The Equine Center's Clinical Diagnostic Laboratory provides a full spectrum of emergency diagnostic testing. Complete hematological and biochemical analysis of blood and fluid samples, including complete blood counts, determination of electrolyte, lactate, and blood gas values, and blood-type cross matching for transfusions are available around the clock.
  • Diagnostic imaging services include the majority of imaging modalities currently available to the horse.
  • For emergency triage purposes our specialists utilize ultrasound, x-ray, computed tomography (CT), and endoscopy. 

  • The Equine Center's Biosecurity Level 2 Isolation Unit allows horses with potentially contagious diseases to be physically separated from hospitalized horses and the general equine population to minimize the risk of patient-to-patient infection.
  • The free-standing isolation facility, which has seven self-contained stalls with independent air exchange, is fully equipped with dedicated diagnostic and treatment equipment for adults and neonates.
  • Within the isolation unit is a retrofitted stall, specifically for treatment of severely neurologic horses that may carry contagious disease. Designed to house these unstable patients, the double-size stall has fully padded walls, poured non-slip flooring, and an overhead sling system.
  • The remaining six stalls are spacious, airy and filled with natural light from full length windows overlooking the Equine Medical Center grounds.
  • Horses arriving at the center with a fever or evidence of an infectious disease are immediately placed in the isolation unit, if the clinician has concerns about potential contagion. 

Blood transfusion is a potentially life-saving procedure for horses suffering hemorrhagic shock resulting from trauma, laceration, or hemolytic crisis. In these circumstances, there is no substitute for whole blood, which replaces the lost red blood cells and provides protein, clotting factors, and platelets.

The Equine Medical Center maintains a small herd of equine blood donors who have collectively donated thousands of liters of blood in critical care situations.

Safe for donor and patient

  • The procedure is simple and straightforward, requiring only the placement of a jugular catheter. Horses have a large, contractile spleen, which allows for fairly large volumes of blood to be removed from healthy donors with no negative consequences.
  • Prior to every transfusion, donors are cross-matched with patients to ensure that their blood does not react adversely with the patients' blood.

Conditions requiring blood transfusion

  • Mares that hemorrhage into the abdomen from a foaling-related tear or an equine patient after a fall or kick commonly require transfusions. These bleeds often cannot be repaired by surgery, so supportive care and transfusions are the most common treatment.
  • Patients with red maple leaf toxicity, lacerations with substantial blood loss, anemia, or clotting disorders may also require transfusions.

Emergencies and appointments:
703-771-6800

In the event of an emergency or to schedule an appointment, refer a patient, or inquire about our other clinical services, please call 703-771-6800.

Mare and foal in critical care unit

emergency and critical care team