In addition to its small animal work, the Irish Blue Cross operates a horse ambulance service that attends at all Irish racecourses, north and south.  In an average year, the fleet of three ambulances provide approximately 340 days of service, working closely with veterinary surgeons to assist and save injured racehorses.  The service also attends the RDS Annual Horse Show, the Punchestown International Horse Trials, the Dun Laoghaire Horse Show and some Point-to-Points.  Significant funding for capital resources is made available by Horse Racing Ireland, the Irish Racehorse Trainers Association and others major organizations in the racing industry.

A close-knit team of skilled staff operates the Irish Blue Cross horse ambulance service.  The service currently attends at all twenty-six Irish racecourses plus an  annual fixture on the beach at Laytown.  In 2005, the Irish Blue Cross horse ambulance crew provided a total of 339 days of racing cover.  On occasions, the Blue Cross horse ambulances are called on to provide emergency roadside assistance for horse boxes carrying animals involved in accidents.

Resources
The ambulance fleet currently consists of four ambulance units. These units include two purpose-built Richardson Supreme ambulances (2006 and 2002 models) and two earlier Rice manufactured Beauford ambulances (1998) and a fully rebuilt, double Rice Beauford ambulance conversion.  Physical features incorporate visible branding, twin sliding partitions, belly slings, low loading ramps, wide front ramps, first aid and tack boxes, oxygen supply, drag mats, and external electric powered winches, etc.

The towing vehicles are Land Rover Discovery commercials, which are replaced on a regular basis.  Each year with the generous support of Land Rover Ireland, additional towing vehicles are made available for Blue Cross work at racecourses as required.