On November 18, 2023, the Honolulu Fire Department (HFD) received a 911 call at 9:37
a.m. for an injured hiker on the Koko Head Crater Trail in Hawaii Kai and responded with
6 units staffed with 17 personnel. The first unit arrived at 9:46 a.m. and ascended the
trail on foot to begin the ground search. Other units secured a landing zone nearby so
personnel could prepare for a search and rescue operation by air.

It was reported that a middle-aged female started hiking at 7:00 a.m., suffered a fall
about half-way down the trail, and could not continue on her own. Rescuers who were
on foot arrived at her side at 10:02 a.m. They performed a medical assessment and
provided basic life support treatment while Air 1 transported and inserted a rescuer by
air. She was secured into a rescue stretcher and safely airlifted to the nearby landing
zone at 10:22 a.m. where medical care was transferred to the Emergency Medical
Services.

All HFD personnel were accounted for with no reports of injuries.