On February 2, 2025, the Honolulu Fire Department (HFD) received a 911 call at 1:05 p.m. and responded to a hiker on the Hanauma Bay Ridge Trail in Hawaii Kai with 6 units staffed with 19 personnel. The first unit arrived on scene at 1:16 p.m., established command, and descended the trail on foot. The second-arriving company secured a landing zone at Koko District Park to prepare for air operations.

It was reported that a 37-year-old male experienced a medical emergency and was unable to ascend the trail on his own. HFD personnel arrived at the hiker’s location at 1:31 p.m., where they conducted a medical assessment and provided basic life support. The hiker was then safely transported via Air 2 to the landing zone, where medical care was transferred to Emergency Medical Services at 2:01 p.m.