Well, I'm sure considering myself lucky about now -- after ready some of the posts for those who have no one around.
My primary vet is well versed in many exotics, does all type farm animals and is equine specialized and worked extensively in breeding & the issues from covering to foaling, etc. We go back MANY years and I have a wonderful relationship with him in that he will ALWAYS (!!!!!) call me within a few minutes of my call if it is an emergency -- will come out any time of day or night. If he's out of town, he will stay on the phone if that is what I need to guide me through. If only a vet can do what's needed, he contacts one for me if I need to get them there or have them ready for me to arrive. I have his home (office), pager and cell phone numbers on auto dial...and communicate by email all the time. Plus, he is a fantastic vet! (AND a great farrier, too....if any help is needed on an animal)
There are two more horse vets in the area, one have a large surgical facility and 2 other vets on staff. Both are within 10 miles of me.
There is a State lab about 20 miles out, so I can get lab work pretty quickly. Hey, coggins within 1/2 hr if I want to wait after carrying blood in. But, great place for reasonably priced results for cultures & sesitivity for best meds to use, etc. Also, necropsy work there.
There are two vet colleges within 4 hrs......one in VA & one in NC.
AND.......we have a wonderful orthopedic vet about an hr from me we now primarily does small animals BUT was specializing in racehorse for many, many years. He was able to handle my mini's broken leg a few years back. Has surgical unit, etc. (Luckily I did NOT need to use the surgery part!)
I'm able to keep several type meds, tranqs, antibiotics, etc. on hand in case of an emergency.