Emergencies in Roseau

Good to Know

• Save 999 as the go-to number for police, fire, or ambulance anywhere in Dominica, including Roseau — it's the number Dominica's own emergency services actually use.
• For non-urgent police matters (reports, inquiries) there's a separate non-emergency line, (767) 448-2222, so you don't tie up the 999 line.
• Princess Margaret Hospital in Roseau has 24-hour emergency care, but for major trauma or specialist treatment, medical evacuation to Martinique, Barbados, or Trinidad is standard — comprehensive travel insurance with medevac coverage is strongly worth having as a nomad here.
• There's no single dedicated 'Dominica emergency app' to download — for storm/flood/volcanic alerts, follow the Office of Disaster Management's website or Facebook page directly rather than searching app stores.
• This is effectively the only hospital-based ER within central Roseau — there is no second named trauma-capable hospital in the immediate city area (Portsmouth Hospital exists but is well outside Roseau, in the island's north).
• For serious or complex trauma, cardiac events, or anything needing specialist intervention, medical evacuation off-island (commonly to Martinique, Barbados, or Trinidad) is the standard next step rather than definitive treatment locally.
• Comprehensive travel insurance that explicitly covers medical evacuation is strongly recommended for nomads — evacuation flights are a major out-of-pocket cost without it.