On February 13, 2025, the Honolulu Fire Department (HFD) received a 911 call at 8:04 a.m. and responded to a hiker in distress on the Puꞌu o Hulu Trail in Māꞌili with 6 units staffed with 17 personnel. The first unit arrived on scene at 8:15 a.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 8:32 a.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 8:55 a.m.