This course offers a clinically applied approach to the ambulatory medical management of horses, focusing particularly on urgent situations and field-based resolution. It covers strategies for managing periparturient emergencies, as well as the fundamentals of recognizing, diagnosing, and providing initial care for sick foals. The course also delves into the nutritional and health management of orphaned foals and examines *Rhodococcus equi* infection, emphasizing early diagnosis, prevention, and rational treatment within production settings. Additionally, it analyzes common conditions in adult horses—such as equine asthma, colic, wounds, and other clinical emergencies—prioritizing their assessment and ambulatory treatment. Finally, the course presents practical criteria for decision-making, efficient resource use, and organizing a basic medical kit for field veterinary practice.