Analyze Diet
Current sports medicine reports2025; 24(1); 11-17; doi: 10.1249/JSR.0000000000001222

Equestrian Sports Safety: An Update on Safety Equipment and Event Medical Coverage.

Abstract: Equestrian sports are associated with high rates of major injury compared to collision and powered two-wheel sports. Advancements in rider and horse safety equipment and the implementation of comprehensive emergency action planning standards may help mitigate injuries, particularly in regard to the Olympic disciplines of dressage, show jumping, and three-day eventing covered in this review. Personal safety equipment to consider includes helmets, safety and air vests, and horse tack including safety stirrups, acoustic dampeners, and breakaway reins. Equestrian event medical coverage requires emergency action planning, partnership with local emergency medical services, and cooperation of interprofessional teams. Safety coordinators and medical providers may be tasked with providing first aid to spectators in addition to stabilizing and triaging crush trauma, traumatic brain injuries or spinal injuries, or fractures in competitors. Stationary and mobile medical units, proper medical equipment, acute spine stabilization protocols, and communication systems are critical components of equestrian medical coverage.
Publication Date: 2025-01-01 PubMed ID: 39749953DOI: 10.1249/JSR.0000000000001222Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

Equestrian sports carry a high risk of major injuries, but recent improvements in safety gear and medical planning aim to reduce these risks. This review highlights key safety equipment and medical strategies used in Olympic equestrian disciplines like dressage, show jumping, and three-day eventing.

Injury Risks in Equestrian Sports

  • Equestrian sports have higher rates of severe injuries compared to many other sports, including collision sports and powered two-wheel sports.
  • These injuries often involve traumatic brain injuries, spinal injuries, crush trauma, and fractures.
  • The risks are particularly notable in Olympic disciplines such as dressage, show jumping, and three-day eventing.

Safety Equipment for Riders and Horses

  • Helmets: Proper helmets are essential to protect riders from head injuries during falls or collisions.
  • Safety Vests and Air Vests: These provide additional protection to the torso by absorbing impact forces and reducing the severity of injuries.
  • Horse Tack Safety Features:
    • Safety stirrups: Designed to release the rider’s foot during a fall to prevent dragging.
    • Acoustic dampeners: Reduce noise that could startle the horse, preventing accidents.
    • Breakaway reins: Essential for enabling quick release in emergencies to avoid impeding the horse or rider.

Medical Coverage and Emergency Planning at Equestrian Events

  • Emergency Action Planning: Comprehensive plans guide responses to accidents, ensuring efficient use of resources and rapid care.
  • Partnerships With Local Emergency Medical Services: Collaborations ensure quick access to advanced medical care beyond onsite capabilities.
  • Interprofessional Teams: Medical providers, safety coordinators, and emergency staff work together for effective event coverage.
  • First Aid for Spectators: Safety teams are also prepared to assist bystanders or spectators who might require first aid during events.

Medical Equipment and Protocols

  • Stationary and Mobile Medical Units: These provide immediate onsite care and enable rapid transport if necessary.
  • Proper Medical Equipment: Includes tools for stabilizing spinal injuries, managing fractures, and handling crush trauma or traumatic brain injuries.
  • Acute Spine Stabilization Protocols: Critical approaches to minimize damage from spinal injuries before hospital care.
  • Communication Systems: Reliable communication is essential for coordinating emergency response teams and ensuring timely interventions.

Summary

  • Advances in safety equipment for both riders and horses help reduce the risk and severity of injuries in equestrian sports.
  • Well-designed medical coverage plans and trained interprofessional teams improve outcomes by delivering timely emergency care.
  • Ongoing attention to safety practices and emergency preparedness is vital to protect competitors and spectators at equestrian events.

Cite This Article

APA
Gould S, Roy IR, Gabriel FD, Lowe R, Lin CY. (2025). Equestrian Sports Safety: An Update on Safety Equipment and Event Medical Coverage. Curr Sports Med Rep, 24(1), 11-17. https://doi.org/10.1249/JSR.0000000000001222

Publication

ISSN: 1537-8918
NlmUniqueID: 101134380
Country: United States
Language: English
Volume: 24
Issue: 1
Pages: 11-17

Researcher Affiliations

Gould, Sara
    Roy, Ian R
    • Tufts University School of Medicine, Boston, MA.
    Gabriel, Fernanda Dib
    • Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL.
    Lowe, Rusty
    • Hoover Fire Department, Hoover, AL.
    Lin, Cindy Y

      MeSH Terms

      • Horses
      • Athletic Injuries / prevention & control
      • Humans
      • Animals
      • Head Protective Devices
      • Emergency Medical Services
      • Personal Protective Equipment
      • Sports Equipment

      References

      This article includes 49 references
      1. Havlik HS. Equestrian sport-related injuries: a review of current literature.. Curr. Sports Med. Rep. 2010; 9:299–302.
      2. Gates JK, Lin CY. Head and spinal injuries in equestrian sports: update on epidemiology, clinical outcomes, and injury prevention.. Curr. Sports Med. Rep. 2020; 19:17–23.
      3. Internationale FE. Olympic and Paralympic Games Equestrian Venue and Operational Requirements.. 2nd ed. Lausanne, Switzerland: Fédération Equestre Internationale; 2024.
      4. Ball CG, Ball JE, Kirkpatrick AW, Mulloy RH. Equestrian injuries: incidence, injury patterns, and risk factors for 10 years of major traumatic injuries.. Am. J. Surg. 2007; 193:636–40.
      5. Weber CD, Nguyen AR, Lefering R. Blunt injuries related to equestrian sports: results from an international prospective trauma database analysis.. Int. Orthop. 2017; 41:2105–12.
      6. Andrew NE, Gabbe BJ, Wolfe R, Cameron PA. Trends in sport and active recreation injuries resulting in major trauma or death in adults in Victoria, Australia, 2001-2007.. Injury 2012; 43:1527–33.
      7. United States Consumer Product Safety Commission. 2014 calendar year national electronic injury surveillance system.. Bethesda, MD: United States Consumer Product Safety Commission; 2014.
      8. Camargo F, Gombeski JW, Barger P. Horse-related injuries: causes, preventability, and where educational efforts should be focused.. Cogent Food Agric. 2018; 4:4.
      9. Chitnavis JP, Gibbons CL, Hirigoyen M. Accidents with horses: what has changed in 20 years?. Injury 1996; 27:103–5.
      10. Ingemarson H, Grevsten S, Thorén L. Lethal horse-riding injuries.. J. Trauma. 1989; 29:25–30.
      11. Pounder DJ. The grave yawns for the horseman. Equestrian deaths in South Australia 1973-1983.. Med. J. Aust. 1984; 141:632–5.
      12. Paix BR. Rider injury rates and emergency medical services at equestrian events.. Br. J. Sports Med. 1999; 33:46–8.
      13. Mutore K, Lim J, Fofana D. Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA.. Trauma Surg. Acute Care Open. 2021; 6:e000728.
      14. Acton AS, Gaw CE, Chounthirath T, Smith GA. Nonfatal horse-related injuries treated in emergency departments in the United States, 1990–2017.. Am. J. Emerg. Med. 2020; 38:1062–8.
      15. Theodore JE, Theodore SG, Stockton KA, Kimble RM. Paediatric horse-related trauma.. J. Paediatr. Child Health. 2017; 53:543–50.
      16. Bier G, Bongers MN, Othman A. Impact of helmet use in equestrian-related traumatic brain injury: a matched-pairs analysis. Br. J. Neurosurg. 2018; 32:37–43.
      17. Stanfill AG, Wynja K, Cao X. Helmet use in equestrian athletes: opportunities for intervention. Concussion 2020; 6:CNC85.
      18. Internationale FE. List of the applicable international testing standards for protective headgear. Lausanne, Switzerland: Fédération Equestre Internationale; 2019.
      19. Clark JM, Hoshizaki TB, Annaidh AN, Gilchrist MD. Equestrian helmet standards: do they represent real-world accident conditions?. Ann. Biomed. Eng. 2020; 48:2247–67.
      20. Communications F. FEI Working Group proposes key changes to equestrian helmet testing standards. Lausanne, Switzerland: Fédération Equestre Internationale; 2023.
      21. Andres SA, Bushau-Sprinkle AM, Brier ME, Seger YR. Effects of body protection vests and experience levels in prevention of equestrian injuries. BMJ Open Sport Exerc. Med. 2018; 4:e000426.
      22. Meyer C, Gabriel F, Schrum K. Airbag vests in equestrian sports: is use associated with harm?. Ann. Biomed. Eng. 2024; 52:2916–22.
      23. Young JD, Gelbs JC, Zhu DS. Orthopaedic injuries in equestrian sports: a current concepts review. Orthop. J. Sports Med. 2015; 3:2325967115603924.
      24. Ceroni D, De Rosa V, De Coulon G, Kaelin A. The importance of proper shoe gear and safety stirrups in the prevention of equestrian foot injuries. J. Foot Ankle Surg. 2007; 46(1):32–9.
      25. Eventing F. FEI Eventing Guidelines on Use of Tack, Equipment and Dress 2023. Lausanne, Switzerland: Fédération Equestre Internationale; 2023.
      26. Martinez JM. Medical coverage of cycling events. Curr. Sports Med. Rep. 2006; 5:125–30.
      27. Asplund CA, Miller TK, Creswell L. Triathlon medical coverage: a guide for medical directors. Curr. Sports Med. Rep. 2017; 16:280–8.
      28. Federal Emergency Management Agency. Special Events Contingency Planning: Jobs Aid Manual. Fema.gov. Updated 2010.
      29. Bugbee S, Knopp W. Medical coverage of tennis events. Curr. Sports Med. Rep. 2006; 5:131–4.
      30. US Equestrian Federation. 2025 USEF Rule Book. Lexington, KY: US Equestrian Federation; 2024.
      31. United States Eventing Association. Safety Coordinator Manual. Leesburg, VA: United States Eventing Association; 2022.
      32. Hartman N, Williamson A, Sojka B. Predicting resource use at mass gatherings using a simplified stratification scoring model. Am. J. Emerg. Med. 2009; 27:337–43.
      33. Palacio LE, Link MS. Commotio cordis. Sports Health 2009; 1:174–9.
      34. American College of Surgeons Committee on Trauma, American College of Emergency Physicians, National Association of EMS Physicians, Pediatric Equipment Guidelines Committee–Emergency Medical Services for Children Partnership for Children Stakeholder Group, American Academy of Pediatrics. Equipment for ambulances. Prehosp Emerg Care 2009.
      35. Internationale FE. General Medical Coverage Requirements for FEI Events. Fédération Equestre Internationale, Lausanne, Switzerland; 2024.
      36. Henry S. ATLS 10th edition offers new insights into managing trauma patients. Bull. Am. Coll. Surg. 2018; 103.
      37. Mills BM, Conrick KM, Anderson S. Consensus recommendations on the prehospital care of the injured athlete with a suspected catastrophic cervical spine injury. Clin. J. Sport Med. 2020; 30:296–304.
      38. Courson R, Ellis J, Herring SA. Best practices and current care concepts in prehospital care of the spine-injured athlete in American tackle football march 2-3, 2019; Atlanta, GA. J. Athl. Train. 2020; 55:545–62.
      39. Murray J, Rust DA. Cervical spine alignment in helmeted skiers and snowboarders with suspected head and neck injuries: comparison of lateral C-spine radiographs before and after helmet removal and implications for ski patrol transport. Wilderness Environ. Med. 2017; 28:168–75.
      40. Services SMCEM. San Mateo County Emergency Medical Services Helmet Removal. San Mateo County Emergency Medical Services. 2020.
      41. Bureau of Emergency Preparedness E, and Systems of Care. Michigan Procedures Helmet Removal. Michigan Department of Health and Human Services. 2023.
      42. Agency NCE. Spinal Motion Restriction BLS Procedure BP-05. Napa County EMS Agency. 2018.
      43. Theodore N, Hadley MN, Aarabi B. Prehospital cervical spinal immobilization after trauma. Neurosurgery 2013; 72(Suppl. 2):S22–34.
      44. Fischer PE, Perina DG, Delbridge TR. Spinal motion restriction in the trauma patient — a joint position statement. Prehosp. Emerg. Care. 2018; 22:659–61.
      45. Breindahl N, Bierens JLM, Wiberg S. Prehospital guidelines on in-water traumatic spinal injuries for lifeguards and prehospital emergency medical services: an international Delphi consensus study. Scand. J. Trauma Resusc. Emerg. Med. 2024; 32:76.
      46. International Federation for Equestrian Sports. Preparation for and Management of Horses and Athletes During Equestrian Events Held in Thermally Challenging Environments. International Federation for Equestrian Sports 2018.
      47. Racinais S, Alonso JM, Coutts AJ. Consensus recommendations on training and competing in the heat. Sports Med. 2015; 45:925–38.
      48. Internationale FE. FEI Eventing Rules. Lausanne, Switzerland: Fédération Equestre Internationale; 2024.
      49. Walsh KM, Cooper MA, Holle R. National Athletic Trainers' Association position statement: lightning safety for athletics and recreation. J. Athl. Train. 2013; 48:258–70.

      Citations

      This article has been cited 0 times.