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Jamaica Fire Brigade’s front line: Inside the Hurricane Melissa response

Dr. Hezedean Smith shares a firsthand account of devastation, resilience and recovery, and how EMS leaders can support Jamaica’s responders

In this episode of the EMS One-Stop podcast, host Rob Lawrence welcomes Dr. Hezedean Smith, who spotlights the human and operational toll of Hurricane Melissa on Jamaica and the wider Caribbean.

Dr. Smith draws from first-hand perspective from the ground, detailing catastrophic damage to homes, utilities, roads and communications — which compounded the workload and emotional burden for Jamaica Fire Brigade (JFB) firefighters and EMS providers.

Dr. Smith highlighted the Brigade’s Amazon Wish List effort, which aims to route essential personal items and operational supplies directly to affected JFB members and stations to sustain continuity of operations and support responders’ families.

After the break, Dr. Smith switched hats as the newly elected President of NEMSMA to outline the association’s renewed momentum:

  • New association management support
  • Expanded member services and credentials
  • The inaugural NEMSMA Leadership Conference

The NEMSMA Leadership Conference will take place in Washington, D.C., March 23-24, 2026, intentionally adjacent to EMS on the Hill to create a leadership-plus-advocacy “two-fer.” Highlights include keynote Gen. Robert Neller (Ret.), plus a deep bench of EMS leaders and educators.

Memorable quotes from Dr. Hezedean Smith

  • “Many homes destroyed, utility systems interrupted, critical infrastructure in terms of communities having the ability to communicate, leaving thousands displaced, even fire stations having operational challenges as it relates to communication and interoperability ... ”
  • “I stayed in the local fire station. I wanted to be there with the men and women on the ground, to make sure that I had that communication, that constant contact with them.”
  • “My focus will be on the firefighters and ensuring that we get enough supplies to go directly to the firefighters.”
  • “We want to tear down silos. We want to redefine leadership and ensure that we continue to collaborate across this globe.”

Additional resources:

Episode timeline:

00:46 – Quick industry/policy update
01:27 – Set-up: Hurricane Melissa overview; impact stats and current situation
02:12 – Welcome Dr. Hezedean Smith
02:26 – Dr. Smith’s backstory: Jamaica roots, USAF medic, Orlando FD, two fire chief roles, GES Consulting, Caribbean EMS focus
04:20 – First reactions to Melissa: scale of damage; compounded human toll
05:58 – Deployment cadence: aligning with JFB command, CDEMA, national EOC; travel hurdles; rapid integration on arrival
08:28 – Why existing relationships matter; staying in-station with crews; supporting leaders and frontline needs
11:13 – Call to action: Amazon wish list for responders’ personal and operational needs; distribution via JFB logistics
13:20 – Specific needs (PPE, boots, clothing, hygiene, basic medical supplies) and the ongoing recovery realities
17:46 – NEMSMA — new president, renewed energy, new AMC, who NEMSMA serves
20:14 – Board/leadership shout-outs; programs (FTEP, ACPE), member services, momentum
22:49 – Conference preview (Mar 23–24, 2026, D.C.): theme — disruptive leadership; Gen. Robert Neller keynote; speaker lineup; proximity to EMS on the Hill
26:29 – IJOP collaboration and research-to-podcast pipeline; communications and sponsorship improvements
28:29 – Closing thanks; unified call to support JFB and engage with NEMSMA initiatives

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Previously on EMS One-Stop
Dr. Remle Crowe returns to EMS One-Stop to reveal the personal and professional drive behind a groundbreaking special issue of Prehospital Emergency Care

Rob Lawrence has been a leader in civilian and military EMS for over a quarter of a century. He is currently the director of strategic implementation for PRO EMS and its educational arm, Prodigy EMS, in Cambridge, Massachusetts, and part-time executive director of the California Ambulance Association.

He previously served as the chief operating officer of the Richmond Ambulance Authority (Virginia), which won both state and national EMS Agency of the Year awards during his 10-year tenure. Additionally, he served as COO for Paramedics Plus in Alameda County, California.

Prior to emigrating to the U.S. in 2008, Rob served as the COO for the East of England Ambulance Service in Suffolk County, England, and as the executive director of operations and service development for the East Anglian Ambulance NHS Trust. Rob is a former Army officer and graduate of the UK’s Royal Military Academy Sandhurst and served worldwide in a 20-year military career encompassing many prehospital and evacuation leadership roles.

Rob is the President of the Academy of International Mobile Healthcare Integration (AIMHI) and former Board Member of the American Ambulance Association. He writes and podcasts for EMS1 and is a member of the EMS1 Editorial Advisory Board. Connect with him on Twitter.