On June 18, 2025, the Honolulu Fire Department (HFD) received a 911 call at 11:47 a.m. and responded to an injured hiker on the Manana Trail with 6 units staffed with 17 personnel. The first unit arrived on scene at 12:01 p.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 hiker suffered an injury and was unable to descend the trail on her own. HFD personnel arrived at the hiker’s location where they conducted a medical assessment and provided basic life support before Air 1 safely airlifted her to the nearby landing zone. Medical care was transferred to the Emergency Medical Services at 12:39 p.m.