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Emergency Services


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Service Overview

If you have an emergency, call 911.

We provide emergency care for all people, 24 hours a day, 7 days a week, 365 days a year. Our team of doctors, nurses and clinical support staff are specially trained in emergency services, combining clinical expertise with expert triage services.

General Conditions & Treatments
  • Trauma
  • Signs of Respiratory Distress
  • Potential Emergency Situations and Conditions
  • Intensive Care
When to Call for Help

Anytime you're not comfortable with a medical situation, call 911 or your local emergency number, go to an emergency room, or call your doctor.

When to get help right away

The American College of Emergency Physicians (ACEP) says that these conditions need medical care right away. Call 911 for conditions such as:

  • Trouble breathing or shortness of breath.

  • Choking.

  • Chest or upper belly pain or pressure lasting 2 minutes or more.

  • Fainting, sudden dizziness, or weakness.

  • Changes in vision.

  • Confusion or changes in mental status, unusual behavior, or difficulty walking.

  • Any sudden or severe pain.

  • Uncontrolled bleeding.

  • Severe vomiting or diarrhea, or vomiting or diarrhea that doesn't stop.

  • Coughing or vomiting blood.

  • Feelings about harming yourself or others.

  • Trouble speaking, or numbness or weakness in any part of your body. 

  • Unusual belly pain.

Additional conditions

Other conditions and symptoms that need emergency care include:

  • Poisoning.

  • A drug overdose.

  • Loss of consciousness.

  • Major burns or smoke inhalation.

  • A deep or large wound.

  • A spinal cord, head, or brain injury.

  • A severe allergic reaction.

  • A fast heartbeat (more than 120 to 150 beats per minute) at rest, especially if linked to shortness of breath or feeling faint.

  • A broken bone, especially with a piece of bone poking through the skin.

  • Drowning.

Pediatric Conditions & Treatments
When to Get Emergency Care for Your Child

Many minor injuries can be handled at home. But there are times when a trip to an emergency room (ER) is needed. For most of these situations, emergency medical services (EMS) should be contacted by calling911. EMS can generally start treatment on the way to the ER. If you think a situation may be urgent, call911.

Your child should go to the ER if they have any of these:

  • Trouble breathing

  • Coughing up blood 

  • Blood in poop (stool) or vomit

  • Blue or purple color to lips, skin, or nails

  • Severe chest or stomach pain or pressure

  • Severe or ongoing vomiting or diarrhea 

  • Sudden dizziness, weakness, or change in vision

  • Swallowed a foreign body such as a coin, toy, or battery

  • Loss of consciousness, confusion, or trouble waking up

  • Seizures

  • Animal, snake, or human bites

  • Severe pain

  • Loss of motion or feeling anywhere in the body

  • Severe bleeding or bleeding that does not stop after 5 minutes of direct pressure

  • Severe or large burns

  • Burns of the face, hands, feet, chest, or groin

  • Broken bones

  • Puncture wounds or deep cuts

  • Fever, neck stiffness, and severe headache

  • Overall ill appearance

  • Fever of 100.4°F (38°C) or higher in an infant younger than 2 months

  • Severe dehydration (sunken eyes, not peeing enough, not making tears, or lack of energy)

  • Head, spinal cord, or eye injuries

  • Signs of an allergic reaction, such as:

    • Hives

    • Swollen face, lips, eyes, or tongue

    • Fainting

    • Trouble breathing or swallowing

    • Wheezing

  • Exposure to poison. Follow instructions from the Poison Control Center at 800-222-1222.

  • Hot or cold weather emergencies, such as frostbite or heat stroke

  • Any confusion, headache, or vomiting after any type of head injury that is ongoing or gets worse

  • Serious threats of self-harm

This is not a full list. There are other problems that may need emergency care.

Take your child to the ER any time you believe a child needs immediate medical care. Contact your child's healthcare provider for more information.

Care at Kapiʻolani

Kapiolani has the only Pediatric Emergency Department in the state of Hawaiʻi.

It is open 24-hours a day, with a dedicated pediatric team focused on one goal: quickly diagnosing and treating a full range of medical conditions in babies, children and teens.

  • Kapiolani treats more than 45,000 patients a year for emergencies, over two-thirds of whom are children
  • Kapiolani has a team of board-certified pediatric emergency medicine physicians

As parents, it's difficult to know how serious your child's illness or injury may be. So it's comforting to know that if your son or daughter requires more than a few stitches, Kapiʻolani has immediate access to pediatric specialists, including surgeons, intensivists and radiologists. Kapiʻolani also has the only pediatric emergency transport team in Hawaiʻi.

When your child or teen faces an unexpected health crisis, turn to the specialists in pediatric emergencies.

Kapiolani Emergency: 1-808-983-8633

To learn more about our NICU/PICU, ECMO and Transport Services, please visit our Critical Care page.

Care at Pali Momi

In a medical emergency, getting the help you need quickly matters. Fortunately, access to high-quality emergency care is always available, close to home, at Pali Momi.

Here’s the Pali Momi difference:

  • 24/7 Emergency care that’s convenient for patients
  • Board-certified emergency physicians
  • Greeters to welcome and keep patients informed
  • Easy access to lab work and imaging procedures
  • 24-hour valet parking for emergency patients

Pali Momi Emergency: 1-808-486-6000

Care at Straub Benioff

Straub Benioff's Emergency Department is available 24-hours a day, 365-days a year to care for patients in need of immediate attention.

The emergency department is located on the north side of the hospital fronting Hotel Street. Patients arriving at the front of the hospital at 888 South King Street can proceed directly through the main floor to the emergency room. Public parking and valet service (when available), are accessible through the King Street entrance.

Someone is always available to transport a patient by wheelchair from their car to the Emergency Department.

Straub Benioff Emergency Department: 1-808-522-4000

Notice: Starting March 3, 2025, construction crews will start work on a large-scale renovation of the Straub Benioff Emergency Department. The project is estimated to take 14 months.

Patient parking near the ED entrance will not be available during this time. Staff will be available to direct vehicles, patients and visitors who need additional assistance. For more details, visit the construction update page.

Care at Wilcox

The Wilcox Emergency Department is staffed by physicians and specially trained personnel 24-hours a day to treat immediate medical emergencies.

In a medical emergency, every minute matters and with comprehensive safety measures in place, there is no reason to wait to get health care.

About the Emergency Department at Wilcox

Wilcox is the first American College of Surgeons-verified Level III Trauma Center in the state of Hawaiʻi. Its 18-bed emergency department serves as the island’s Primary Stroke Center and includes a central monitoring system.

A high-tech communication system allows medical staff to communicate with emergency medical teams en route to the medical center. This system also provides a communication link with triage centers on Oʻahu. If necessary, patients with major trauma and head injuries are transferred to Oʻahu via air ambulance.

Get the care you need, right now.

Our Emergency Services Locations