On June 23, 2024, the Honolulu Fire Department (HFD) received a 911 call at 12:49 p.m. and responded to a hiker in distress on the Koko Head Crater Trail in Hawaii Kai with 6 units staffed with 17 personnel. The first unit arrived on scene at 12:56 p.m. and ascended the trail on foot. The second-arriving unit secured a nearby landing zone in preparation for air operations.

It was reported that a 65-year-old female became ill and was unable to descend the trail on her own. HFD personnel arrived at the hiker’s location at 1:03 p.m. where they conducted a medical assessment and performed basic life support treatment. The hiker was, then, safely airlifted to the nearby landing zone where medical care was transferred to the Emergency Medical Services (EMS) at 1:44 p.m. Soon after, the hiker’s husband began having difficulty descending the trail and was airlifted to the same landing zone and transferred to EMS at 1:53 p.m.

All HFD personnel were accounted for with no injuries.