On October 16, 2026, the Honolulu Fire Department (HFD) received a 911 call at 1:32 p.m. and responded to an injured hiker at the top of the Koko Head Crater Trail with 6 units staffed with 18 personnel. The first unit arrived on scene at 1:40 p.m. 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 male hiker in his 20s was hiking alone when he experienced a medical emergency and was unable to descend the trail. HFD personnel on foot arrived at the hiker’s location at 2:03 p.m. where they conducted a medical assessment, provided basic life support, and prepared him for air extraction. The hiker was loaded onto the aircraft at 2:44 p.m. and safely transported to the nearby landing zone where medical care was transferred to Emergency Medical Services at 2:48 p.m.
All HFD personnel were accounted for with no injuries.