On December 18, 2024, the Honolulu Fire Department (HFD) received a 911 call at 12:31 p.m. and responded to an injured hiker on the Lanikai Pillbox Trail in Kailua with 6 units staffed with 17 personnel. The first unit arrived on scene at 12:41 p.m., established command and ascended the trail on foot. The second-arriving company secured a nearby landing zone to prepare for air operations.

It was reported that a female in her 50s fell, suffered an injury and was unable to descend the trail on her own. HFD personnel arrived at the hiker’s location at 12:58 p.m. where they conducted a medical assessment and provided basic life support. The hiker was then safely transported via Air 1 to the landing zone where medical care was transferred to Emergency Medical Services at 1:20 p.m.