Last Updated: 27/05/2025
Have you wondered what to do if your horse gets injured? Read more from our vet team about horse first aid and what you can do at home to help.
Author: Dr Teagan Lever BVSc (Hons)
Reading Time: 14 minutes - short read
Every horse owner knows that it's less of a question of 'if' but rather 'when' when it comes to horses and accidental injuries. Accidents and injuries happen when we least expect them, so it pays to have a first aid kit and some basic first aid knowledge on hand to help you take control of the situation.
While some wounds and injuries may be able to be managed by you and your trusty first aid kit, it's important to know when to seek veterinary attention. As a general rule, you should call in the vet for:
Heavy bleeding that won't stop despite applying pressure
Wounds that appear infected
Wounds that appear to involve tendons, muscle, bone or joints
Suspected bone fractures
Wounds that penetrate the abdominal or chest cavity
Very deep wounds
Difficulty breathing
Injuries causing the horse to have difficulty walking
Unsteadiness, loss of balance or collapse
Choking on feed
Suspected colic with fluid diarrhoea or ongoing pain
Keep your first aid kit somewhere close at hand and remember to carry it with you in the car when travelling to competitions and events. Keep a laminated inventory list with your kit so that you can easily see what needs to be restocked; there's nothing worse than opening the first aid kit in an emergency to find it missing essential items!
2-4 x rolls adhesive bandage (e.g. Valuplast)
2-4 x rolls cohesive bandage (e.g. Valuwrap)
Electrical tape (for use over bandaged hooves for additional protection)
Non adhesive wound dressings
Pack of gauze swabs for dressing, packing and cleaning wounds
Absorbent pads to control acute bleeding
Poultice
Wound antiseptic spray (e.g. Cetrigen)
Antiseptic cream/ointment (e.g. White Healer)
Antiseptic solution for making up diluted wound cleansing solution (e.g. Vetsense 10% PVP Iodine)
Sterile saline
Fly repellent
Petroleum jelly
Latex gloves
Clean plastic buckets x 2
Thermometer
Large syringe for flushing wounds (60mL, can use cleaned out worming paste syringe)
Tweezers
Curved, blunt ended scissors
Torch
If a wound has just happened, first apply pressure using absorbent dressings, bandages or clean towels. Once the bleeding stops, you can then take a closer look to see if the wound involves any important structures, such as joints, tendons, bone or muscle. If the wound stops bleeding and doesn't involve any of the structures mentioned above, move the horse to a safe place so that it can be thoroughly cleaned. Hose the wound with clean water or use a large syringe to flush with plenty of sterile saline or diluted iodine solution. Once the wound has been thoroughly flushed, apply an antiseptic ointment or spray and a protective dressing if required. Check the wound daily to monitor progress and re-apply antiseptic as needed.
If a wound appears to have occurred some time ago, there is a higher likelihood that it may have become infected. Signs of wound infection in horses includes yellow, grey, green or brown discharge (pus), redness, swelling, high temperature and general signs of being unwell. If the wound does not appear infected and does not involve any deeper structures like bone, muscle, tendon and joints, it may be managed the same way as described for a fresh wound above.
If your horse has a wound, whether it is old or new, be sure to check that they are up to date with their tetanus vaccinations. Horses should be vaccinated at least every 12 months against tetanus and given a booster again if a wound occurs. If your horse's vaccinations are out of date and a wound occurs, consult your veterinarian for further advice as a dose of tetanus antitoxin may also be required.
Remember that even small puncture wounds have the ability to penetrate important structures resulting in serious structures, so if you are in doubt it is always best to seek veterinary attention.
