Emergency & Critical Care

Life Saving Care For Your Pets

Our doors are open to provide life-saving care for pets in a health crisis. Emergency veterinarians, licensed veterinary technicians and trained support staff monitor patients around the clock, whether your pet is here for an out-patient visit or overnight stay.


We care for our patients first. That means we place the healthcare needs and well being of our pet patients above all other concerns.


Pets with complex, critical, or chronic diseases may be referred to Guardian Veterinary Specialists, our main facility, in Brewster, NY. At Guardian Veterinary Specialists, services include Internal Medicine, Surgery, Neurology and Neurosurgery, Oncology, Cardiology, Ophthalmology, Behavior Services, Diagnostic Imaging, and Rehabilitation. The board-certified doctors at Guardian Veterinary Specialists have completed many years of academic and clinical training to earn their veterinary specialist credentials. We offer sophisticated diagnostic testing, imaging technologies, and medical and surgical treatments.


Coming soon! In the future, Guardian Veterinary Emergency Orange County will be offering prompt, convenient, safe medical transportation for pets that require transfer to our Brewster facility for specialty medical and surgical services.

How do you know if your pet is having an emergency?


You know your pet best, so if you’re concerned call us at 845-692-0260 or come to our hospital at  517 NY-211 in Middletown, NY 10941. If possible, give us a call to let us know you’re on your way.


What should you do if you think your pet is having an emergency?


  • Stay calm.
  • Handle your pet carefully; scared or injured pets can sometimes be aggressive.
  • Please drive carefully.

Here are some warning signs of a pet emergency:


  • Breathing difficulty or choking
  • Collapsing
  • Pale or white gums
  • Seizures
  • Loss of consciousness
  • Inability to get up or use limbs
  • Fractures, burns, or bites
  • Wounds or cuts
  • Car accidents
  • Medication, poison, or chemical ingestion
  • Excessive drooling or pacing back and forth
  • Refusal to eat for more than two days
  • Excessive drooling, non-productive retching
  • Swollen, distended, or firm abdomen
  • Pregnancy or labor complications
  • Excessive vomiting or diarrhea
  • Heat stroke or hypothermia
  • Inability to urinate or defecate
  • Electrocution
  • Eye Injury

How to prevent and prepare for an emergency


  • Store a pet first-aid kit in your home and car.
  • Never leave your pet in the car alone. Accidents and heat stroke can happen!
  • Make sure your home and yard areas are safe and secure so pets don’t run away.
  • Lock up medications, cleaners, cosmetics, and chemicals.
  • Keep your pet away from the pool or hot tub when unattended.
  • In public, your pet should be leashed and under your control at all times.
  • Make sure you have your pet’s medical history for emergencies.
  • Certain items are toxic for pets to eat: any candy or gum with artificial sweetener, onions, grapes, raisins, avocados, macadamia nuts, chocolate, coffee, alcoholic beverages, or any drugs not prescribed for that pet.
  • Keep clothes, toys or any objects that pets are tempted to eat out of the way as they can cause intestinal blockages.
  • If you own a pet bird, fumes from cleaning with oven cleaners or cooking with Teflon pans can kill; choose other household items.
  • Keep pets away from electrical cords they might like to chew on.
  • Many cases of poisoning happen with pets consuming pesticides, mulch, de-icing salts, antifreeze, gasoline, oil, or even poisonous plants. Keep an eye on your pet outside.

Get in touch with us

Guardian Veterinary Emergency provides life-saving emergency services for pets throughout Orange County and beyond. Our hours of operation are Monday-Thursday 6:00 p.m. to 8:00 a.m.; Saturday and Sunday 24 hours; all major holidays 24 hours.