On July 22, 2025, the Honolulu Fire Department (HFD) received a 911 call at 4:30 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 4:40 p.m., established command and ascended the trail on foot. The second-arriving company secured a nearby landing zone to prepare for air operations.

It was reported that a male hiker in his teens became ill and was unable to descend the trail on his own. HFD personnel arrived at the hiker’s location at the top of the trail at 5:08 p.m. where they conducted a medical assessment and provided basic life support. The hiker was then safely transported via Air 1 to the landing zone where medical care was transferred to Emergency Medical Services at 5:29 p.m.

All HFD personnel were accounted for with no injuries.