On May 15, 2025, the Honolulu Fire Department (HFD) received a 911 call at 8:54 a.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 9:01 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 male in his 50s suffered an injury and was unable to descend the trail on his own. HFD personnel arrived at the hiker’s location at 9:15 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 9:49 a.m.