Trending Topics

When systems hesitate, they deploy: The rogue air crews who faced Ebola head-on

Kevin Hazzard unpacks the high-stakes missions, improvised protocols and relentless preparation behind Phoenix Air’s daring rescues

In this episode of EMS One-Stop, Rob Lawrence sits down with Kevin Hazzard to explore No One’s Coming, a gripping account of the 2014 Ebola outbreak and the extraordinary effort to rescue infected American aid workers from West Africa.

|WATCH NOW: FDNY’s future: AI, BWCs and pay parity with Commissioner Lillian Bonsignore

What begins as a seemingly impossible mission evolved into a high-stakes, time-critical operation led by Phoenix Air — a team known for taking on the missions no one else will.

Hazzard traces the origins of this unconventional organization, from transporting explosives and nuclear materials, to pioneering aeromedical evacuation of the world’s most dangerous infectious patients.

The conversation moves beyond storytelling into operational reality. With no established protocols, limited knowledge of Ebola and widespread public fear, crews were forced to improvise, adapt and execute under intense pressure.

The episode examines the intersection of EMS readiness, public health hesitation and leadership under uncertainty. At its core, this is a study in preparation, risk tolerance and professional duty — illustrating how a small group of individuals stepped forward when systems hesitated, reinforcing the enduring EMS principle: when the call comes, you answer.

A graphic memoir follows one EMT’s path from rookie to seasoned paramedic, capturing the daily grind, dark humor and emotional toll of life on the ambulance

Key quotes from Kevin Hazzard

  • “This is as scary as it gets.”
  • “It is the largest and deadliest Ebola outbreak in human history.”
  • “We’ve got to figure out how to transport highly contagious patients — nobody does that.”
  • “They risked their lives. They risked their families’ lives for strangers.”
  • “Preparation is the most important thing.”
  • “We are notoriously short-minded … we’re not long-range thinkers.”
  • “There are people out there who are willing to step into the breach when needed.”

Episode timeline

  • 00:00 – Opening context: Ebola outbreak severity and mission stakes
  • 01:00 – Introducing Kevin Hazzard, author background
  • 03:30 – Origins and evolution of Phoenix Air
  • 08:00 – High-risk missions (including Libya nuclear extraction)
  • 14:30 – Transition to EMS and infectious disease transport
  • 16:00 – Development of the biocontainment system
  • 20:00 – Ebola mission planning and execution challenges
  • 27:00 – U.S. reception, EMS transport and public reaction
  • 31:00 – Leadership lessons and EMS preparedness gaps
  • 35:00 – Reflections on readiness, resilience and future threats

Rate and review the EMS One-Stop podcast

Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the EMS One-Stop team at editor@EMS1.com to share ideas, suggestions and feedback.

Listen on Apple Podcasts, Amazon Music, Spotify and RSS feed.

Previously on EMS One-Stop
From binge rates to “crew bonding,” Dr. Maria Koeppel unpacks how pressure shapes habits — and how Gen Z is changing them

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.