On September 10, 2025, the Honolulu Fire Department (HFD) received a 911 call at 9:02 a.m. and responded to a hiker in distress on the Koko Head Crater Trail in Hawaii Kai with units staffed with 19 personnel. The first unit arrived on scene at 9:11 a.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 female hiker in her forties became ill and was unable to descend the trail on her own. HFD personnel arrived at the hiker’s location just beyond the bridge 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 9:57 a.m.

All HFD personnel were accounted for with no injuries.