There are about nine ambulances providing emergency transport from accident scenes to emergency centers around the island. UNIMED has two; AirEvac in West Bay has one; Woods Medical Clinic has one; there is the airport ambulance; the Red Cross and COPECO have one ambulance each; and the Roatan Fire Department has two ambulances.

The islanders relied on their neighbors and enterprising businessmen to help with emergency transport until the late 1990s. That changed in 1998, when Hurricane Mitch battered Roatan and the Fire Department received its ambulance. It was based at the Coxen Hole fire station and staffed by Fire Chief Elton Woods.

Emergency dispatching takes place via WhatsApp groups, where someone posts an emergency and another person reads it and says an ambulance has been contacted. It is a poor man’s emergency dispatch system, but it works.
Some believe it could work better. “It is a shame Roatan still doesn’t have an emergency dispatcher,” said Ana Svoboda, president of the Honduran Red Cross Bay Islands Council from 2016 to 2021. “This would reduce anxiety; get emergency services to accident scenes more quickly and ultimately save lives.”

It is a poor man’s emergency dispatch.

Roatan is now dotted with private clinics offering emergency ambulance services. West End-based UNIMED has two ambulances and provides services to tourists and locals. Their ambulances provide BLS, or basic life support, and DLS, or advanced life support. They have systems to treat heart failure. “Our doctors provide treatment on-site, not at the clinic,” says Daniel Cartagena, UNIMED’s manager since 2018. “We do the first assessment on-site, and if it is a motorcycle accident, we take them to Satuye Hospital.”

UNIMED is strategically located in West End and offers emergency transport, 24/7 emergency care, lab tests, X-rays, general surgery, air ambulance services, and an array of specialist doctors. UNIMED began in 2015 with a wheeled ambulance based at Coconut Tree in West End. “We assisted with many emergencies at that time,” Cartagena says.

In 2019, UNIMED expanded its services to provide a stabilization facility and care for minor emergencies. UNIMED is part of a chain of clinics and urgent care centers in Latin America. UNIMED is a sister company of AirEvac International and is owned by Raul Mendoza, a California businessman.

There are several other private clinic ambulance providers for cruise passengers in case of emergency. One of them is the island’s oldest private hospital, owned by Dr. Jackie Woods.

Dr. Woods opened Woods Medical Center, or WMC, on Main Street in Coxen Hole in 1999. From the beginning, the center has operated as a 24/7 emergency facility. Since 2023, it has had its own ambulance. “We only use the ambulance for cruise ship patients,” said Dr. Woods, owner of Woods Medical Center. In 2025, WMC has an intensive care unit, or ICU, that is able to stabilize a patient. “We can treat trauma,” Dr. Woods said.

The biggest necessity is the blood bank.

Other elements of good emergency treatment include the availability of emergency blood centers and 24/7 laboratories. The key is Coxen Hole’s Satuye Hospital, which stores Roatan’s blood supply. The typically stored supply of 10 to 12 pints of blood is small and easily depleted. “The biggest necessity is the blood bank, 10 to 12 pints of blood, and those can be drained with just a couple of motorcycle accidents,” said Jackie Woods. While the island’s Red Cross has a list of several donors with AB blood type, the price per pint is $60 to $70.

After operating for years at the mall in French Harbour, CEMESA is currently closed. CEMESA purchased a house from the former Roatan mayor at the intersection of Jackson Road and Main Road in Brick Bay and is working to open sometime in 2026.