On February 11, 2025, the Honolulu Fire Department (HFD) received a 911 call at 1:43 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 1:51 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 female in her 20s suffered an injury and was unable to descend the trail on her own. HFD personnel arrived at the hiker’s location at 2:03 p.m. where they conducted a medical assessment and performed basic life support treatment. The hiker was, then, safely airlifted to the landing zone where medical care was transferred to the Emergency Medical Services at 2:31 p.m.