Most cat emergencies don’t start with drama. They start with a quiet change: a cat hiding, breathing differently, visiting the litter tray again and again, or suddenly seeming “not quite right”. When the problem is breathing, poisoning, trauma, or a urinary blockage, hours can matter.
Below are the signs that warrant urgent action, the calm first-aid steps that help (and the ones that can harm), and the safest way to get a frightened, painful cat to a vet.
First, decide: is this an emergency?
If you’re unsure, treat it as urgent and call a veterinary clinic or emergency hospital. Cats are skilled at masking illness, and by the time symptoms are obvious, they can be seriously unwell.
Go now (or call ahead and leave immediately) if you notice:
- Breathing trouble: open-mouth breathing, rapid breathing at rest, pronounced effort (heaving sides), blue/grey gums, collapse.
- Suspected urinary blockage: repeated straining in the litter tray with no urine (or only drops), painful abdomen, vomiting, sudden lethargy (often mistaken for constipation).6
- Active seizure, repeated seizures, or a seizure lasting more than a few minutes.
- Poisoning/toxin exposure (including dog flea/tick products containing permethrin): tremors, drooling, vomiting, weakness, wobbliness, seizures, sudden collapse.4, 5
- Heat stress/heatstroke signs: open-mouth breathing, weakness, vomiting/diarrhoea, wobbliness, collapse.7
- Major trauma: hit by car, high fall, bite wounds with swelling, uncontrolled bleeding, obvious fracture, or sudden inability to walk.
- Severe pain: yowling, panting, hunched posture, unwilling to move, or guarding the abdomen.
Common feline emergencies (and how they tend to look)
Breathing and heart-related crises
Cats do not usually pant. Open-mouth breathing, especially at rest, is a red-flag sign of distress and needs immediate veterinary assessment.7
Urinary obstruction (blocked bladder)
This is most common in male cats and can become life-threatening quickly. A cat that keeps straining to urinate with little or no output needs urgent care.6
Poisoning and toxin exposure
Common sources include human medicines, household and garden chemicals, toxic plants, baits, and inappropriate parasite products. Cats are particularly sensitive to some insecticides, including permethrin (found in some dog-only “spot-on” treatments and certain insect control products).5
Heat stress and heatstroke
Cats can overheat in enclosed, poorly ventilated spaces, during hot weather, or when unwell. Open-mouth breathing in a hot environment is a warning sign, not “normal panting”.7
Seizures and collapse
Seizures can be triggered by toxins, metabolic problems, heatstroke, or brain disease. Any seizure is worth a same-day veterinary call; repeated seizures, prolonged seizures, or collapse are emergencies.
Injuries, wounds, and shock
Cat bites and puncture wounds can look small but drive infection deep under the skin. Trauma can also cause internal bleeding or lung injury with little visible evidence, so “seems OK” after an accident isn’t a guarantee.
Quick checks you can do at home (without causing harm)
Keep handling to a minimum. Painful cats may scratch or bite even if they’re usually gentle.
- Breathing: count breaths while your cat is resting. Any laboured effort, open-mouth breathing, or sudden change in pattern is urgent.
- Gums: gently lift the lip if safe. Pale, blue/grey, or very dark gums can indicate poor oxygenation or shock.
- Litter tray output: if you suspect a blockage, confine your cat briefly with a clean tray to confirm whether any urine is produced. If you can’t confirm urine output, treat it as an emergency.6
- Temperature: don’t force a rectal thermometer in a struggling cat. If you suspect overheating, begin cooling and go to the vet.7
First aid priorities: what helps in the first minutes
1) Make the scene safe and reduce stress
Close doors. Dim the room. Remove other animals. Use a towel to gently wrap your cat if you need to lift them. Stress worsens breathing problems and can escalate pain.
2) Call before you drive (when possible)
Phone your usual vet or nearest emergency hospital so they’re ready. If poisoning is suspected, a poisons hotline can help you avoid dangerous “home fixes”. In Australia, you can contact the Animal Poisons Helpline 24/7 on 1300 869 738.1, 2
3) Control bleeding with firm pressure
For external bleeding, apply firm pressure with a clean cloth or dressing. Add more layers if it soaks through; don’t keep lifting the pad to check.
4) If heatstroke is suspected, cool gently and keep moving towards the vet
Move your cat to a cooler area. Apply or spray tepid-to-cool water onto the fur/skin and use airflow (fan or car air-conditioning). Avoid ice-cold water or ice, which can make things worse. Then go to a vet immediately, even if your cat seems to improve.7
5) If a seizure happens, protect your cat from injury
Don’t put your hands near the mouth. Move furniture away, dim lights, and keep noise low. If it’s safe, time the seizure. Once it stops, keep your cat warm and quiet and seek urgent veterinary advice.
Poisoning: what to do (and what not to do)
If you suspect poisoning, act early. Some toxins cause delayed signs, and treatment is often more effective before symptoms fully develop.3
Do:
- Remove access to the source and keep any packaging, plant sample, or tablets.
- Call a vet, emergency clinic, or a poisons service for advice. In Australia, Animal Poisons Helpline is 24/7 on 1300 869 738.1, 2
- Be ready with: your cat’s weight, what was involved, how much might be missing, and when exposure happened.3
Do not:
- Do not induce vomiting unless a veterinary professional specifically instructs you to. This can be dangerous in cats and may worsen some poisonings.4
- Do not give home antidotes (milk, oils, activated charcoal from the pantry, salt water, “detox” products). Incorrect dosing or the wrong approach can cause harm.3
Safe transport to the vet (the part that often goes wrong)
In an emergency, your goal is containment, stillness, and airflow.
- Use a carrier whenever possible. Remove the top if your cat is difficult to load, then lower them in on a towel.
- Keep the body level. For suspected trauma, slide your cat onto a firm board or a thick towel like a stretcher.
- Keep them warm, not hot. Shocked cats can become cold quickly, but avoid overheating.
- For breathing distress, keep the head/neck in a natural position and avoid compressing the chest. Don’t force your cat to lie on their back.
- Drive steadily, keep noise low, and run the air-conditioning if it helps breathing or overheating.
Emergency preparedness for Australian cat owners
Emergencies reward the boring groundwork done in advance.
- Know your nearest emergency vet and its after-hours process. Save the number in your phone.
- Microchip your cat and keep details up to date.
- Keep a carrier accessible, not buried in the garage.
- Have an emergency kit: clean towels, non-stick dressings, bandage roll, saline, scissors, disposable gloves, and your cat’s regular medicines.
- Reduce poisoning risks: store chemicals and medications securely; avoid dog-only permethrin spot-ons in any household with cats; use pest products with extreme caution.5
When to seek veterinary care (even if it seems mild)
Cats can look stable right up until they aren’t. Same-day assessment is wise if you notice:
- Not eating for 24 hours, especially with lethargy.
- Repeated vomiting or diarrhoea, or any blood.
- Limping that doesn’t settle quickly, or swelling after a suspected bite.
- Any urinary changes: straining, blood in urine, urinating outside the tray, or frequent small attempts.
Final thoughts
In a feline emergency, calm speed beats perfect technique. Keep handling minimal, avoid improvised treatments, and let trained veterinary teams take over as soon as you can. When the signs point to breathing trouble, toxin exposure, trauma, heatstroke, or a blocked bladder, the safest choice is early urgent care.
References
- Animal Poisons Helpline (Australia) — Contact details (24/7)
- Animal Poisons Helpline — Calling the helpline (what they ask, triage process)
- ASPCA Animal Poison Control Center — What to do if your pet is poisoned
- American Red Cross — Cat poisoning first aid (including not inducing vomiting without advice)
- RSPCA Knowledgebase — Common household dangers for pets (permethrin toxicity risk to cats)
- Merck Veterinary Manual — Urethral obstruction in small animals (clinical signs and urgency)
- RSPCA NSW — Heat stress (signs in cats and urgent response)

Veterinary Advisor, Veterinarian London Area, United Kingdom