Meaning
To cry out or shout loudly — whether from pain, grief, or to call for help or attention. 'Bawl' in Patois means to cry or weep, so to 'bawl out' is to let out a loud, sudden cry or wail: a person struck or frightened will 'bawl out', and one in trouble 'bawl out fi help'. Louder and more urgent than plain crying, it names the open, unrestrained cry of alarm, hurt, or distress, and it belongs to the strong, bodily vocabulary of loud emotion.
Examples
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Wen di boy stump him toe, him bawl out loud.
When the boy stubbed his toe, he cried out loudly.
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She bawl out fi help wen di fire start.
She cried out for help when the fire started.
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Di crowd bawl out wen di goal score.
The crowd shouted out when the goal was scored.
Origin
From 'bawl' (to cry/weep loudly, a general Patois sense) plus 'out' — to let a cry out.
How it’s used
Note that 'bawl' in Patois means to cry or weep generally, not only to shout — 'a bawl mi a bawl' can mean 'I'm weeping'.