This article by Leigh Anderson highlights the critical role of emergency medical responders (EMRs, EMTs, paramedics) at sanctioned horse shows, where the United States Equestrian Federation (USEF) mandates the presence of Qualified Medical Personnel (QMP) during competitive and schooling sessions. Using a case study of a young rider named Katie who suffered a T-8 vertebra fracture after a fall, the article illustrates the types of injuries common in equestrian events—primarily falls from horses—and the importance of prompt, skilled medical assessment and intervention. The QMP’s responsibilities include patient assessment, emergency care, coordination with local EMS for transport, and adherence to safety protocols and reporting requirements, all while managing the unique challenges posed by the presence of large animals and rural event locations.

The article also discusses the culture of safety within the equestrian community, including helmet use that has significantly reduced concussion rates and the adoption of protective vests to mitigate injury severity. It emphasizes the importance of preparedness, communication, and incident command skills for medical personnel at these events. Additionally, the article notes that many participants may lack insurance and often prioritize their sport over medical care, which can complicate on-site medical management. Overall, the piece serves as a practical guide for EMS providers working at horse shows, underscoring the need for vigilance, professionalism, and collaboration to ensure the safety and well-being of riders, spectators, and officials.