Our specialist-led team cover all aspects of equine internal medicine and critical care. The Equine Referral Hospital’s exceptional facilities allow for investigation of all medical conditions and excellent monitoring and care of hospitalised patients. The medicine clinicians also provide ambulatory services where possible, particularly for gastroscopy and cardiac investigation. Our medicine clinicians are happy to discuss cases and advise on lab results at any time.

Our areas of expertise include: 

Our state-of-the-art facilities for investigating and treating medical disease in the horse include dedicated examination facilities, endoscopy, ultrasound, radiography and computed tomography (CT) as well as hospitalisation and critical care facilities, 24/7 onsite veterinary staffing and disease-specific treatments such as EquiPENS™ for headshaking and TVEC for atrial fibrillation. The Equine Referral Hospital team also has specialists in Equine Diagnostic Imaging, Ophthalmology and Surgery, as well as Specialist Anaesthetists, who all work together to provide exceptional care and the best possible outcome for your horse. 

The team of equine medicine specialists work in conjunction with a wider team of veterinarians undertaking further training, registered veterinary nurses and students nurses and equine hospital assistants, to provide outstanding diagnostic services and care for their patients. 

In order to be a specialist in equine medicine, a vet must have undertaken a rigorous 3-year training programme under the guidance of a board-certified specialist at an accredited institution. Before they can enter this programme they must have a minimum one-year internship or two years as a GP in first opinion veterinary practice under their belt. Training positions are extremely competitive to attain. The trainee must also have published scientific research in the field of equine medicine, and then successfully pass both theoretical and practical examinations to be called a Specialist and recognised by the Royal College of Veterinary Surgeons. This means that a specialist vet will be the most highly qualified in that subject and have reached the expected high standard of technical ability and knowledge. This is the veterinary equivalent of a consultant at a human hospital. 

Diagnostic and therapeutic procedures available: 

  • Abdominocentesis 
  • Blood or plasma transfusion 
  • Bone marrow aspiration and core biopsy 
  • Bronchoscopy and BAL 
  • CCTV monitoring for suspected collapse/ neurological cases 
  • CSF collection and analysis 
  • Cystoscopy 
  • Echocardiography 
  • Electrocardiography (resting, exercising and 24h recording) 
  • EquiPENS™ therapy 
  • Gastroscopy 
  • Headshaking investigation  
  • Isolation and critical care of suspected/ confirmed infectious disease cases 
  • Neurological assessment 
  • Thoracic ultrasonography and radiography 
  • Transvenous electrocardioversion 
  • Upper respiratory tract endoscopy and tracheal lavage 

Supportive services available: 

  • In-house diagnostics including blood gas analysis, haematology, biochemistry and coagulation testing 
  • Full on-site diagnostic laboratories providing same-day results 
  • Diagnostic radiography and CT on site including: 
  • Cervical radiography 
  • Thoracic and abdominal radiography 
  • Computed tomography of the head 
  • Transfusion medicine and blood products for horses 
  • Enteral and Parenteral nutrition 
  • Multi-modal pain management 
  • State of the art intensive care for adults and foals with 24-h onsite veterinary supervision 

Meet The Team

Our team are leading in research, regularly publishing scientific papers and contributing to magazine articles. Click the links to find out more about our clinicians, and to see their contributions to the industry literature.

Sarah Smith - Equine Medicine Clinician

Veronica Roberts - Senior Clinical Fellow in Equine Medicine

Katya Potter - Equine Medicine Clinician

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