On April 6, 2025, the Honolulu Fire Department (HFD) received a 911 call at 7:25 a.m. and responded to an injured hiker on the Lanikai Pillbox Trail in Kailua with 5 units staffed with 16 personnel. The first unit arrived on scene at 7:36 a.m., established command and ascended the trail on foot. The second-arriving unit secured a nearby landing zone to prepare for air operations.

It was reported that a female in her 50s suffered an injury and was unable to descend the trail on her own. HFD personnel arrived at the hiker’s location at 7:52 a.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 the Emergency Medical Services at 8:25 a.m.