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Emergency Services


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Service Overview

If you are having a medical or psychiatric emergency, call 911 immediately.

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

Conditions & Treatments

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.

Call 911 for conditions such as:

    • Any sudden or severe pain
    • Changes in vision
    • Choking
    • Chest or upper belly pain or pressure lasting 2 minutes or more
    • Confusion or changes in mental status, unusual behavior, or difficulty walking
    • Coughing or vomiting blood
    • Fainting, sudden dizziness, or weakness
    • Feelings about harming yourself or others
    • Severe vomiting or diarrhea, or vomiting or diarrhea that doesn't stop
    • Trouble breathing or shortness of breath
    • Trouble speaking, or numbness or weakness in any part of your body
    • Uncontrolled bleeding
    • Unusual belly pain

Additional conditions

Other conditions and symptoms that need emergency care include:

    • Broken bone, especially with a piece of bone poking through the skin
    • Deep or large wound
    • Drowning
    • Drug overdose
    • Fast heartbeat (more than 120 to 150 beats per minute) at rest, especially if linked to shortness of breath or feeling faint
    • Loss of consciousness
    • Major burns or smoke inhalation
    • Poisoning
    • Severe allergic reaction
    • Spinal cord, head, or brain injury

Pediatric Conditions & Treatments

As parents, it's difficult to know how serious your child's illness or injury may be. If your child requires more than a few stitches, we have immediate access to pediatric specialists. Our surgeons, intensivists and radiologists are here whenever your child or teen faces an unexpected health crisis.

When to Get Emergency Care for Your Child

Many minor injuries can be handled at home. But there are times when you'll need a trip to an emergency room (ER). For most of these situations, call 911 to contact emergency medical services (EMS). EMS can generally start treatment on the way to the ER.

Go to the ER if the child:

    • Has a burn that’s large or involves the hands, feet, groin, chest, or face.
    • Has a change in mental status like suddenly becoming unusually sleepy or confused.
    • Has bleeding that will not stop or a cut that’s large, deep, or involves the head, chest, or belly.
    • Has increasing or severe lasting pain.
    • Has neck stiffness or a rash with fever.
    • Has a rapid heartbeat that doesn’t slow down.
    • Has rhythmic jerking and loss of consciousness.
    • Has severe bleeding or head trauma.
    • Has skin or lips that look blue, purple, or gray.
    • Has trouble breathing, shortness of breath, or is not able to speak more than 2 or 3 words.
    • Is choking.
    • Is unconscious, fainting, or not responsive when spoken to.
    • Is vomiting blood.
    • Shows confusion or strange, withdrawn, and less alert behavior.
    • Swallows a poisonous substance.

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

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

Our dedicated pediatric team is available 24-hours a day for treating babies, children and teens.  

  • Kapiʻolani treats more than 45,000 emergency patients a year, over two-thirds of whom are children
  • We have a team of board-certified pediatric emergency medicine physicians
  • We have the only pediatric emergency transport team in Hawaiʻi.

Learn more about our Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Extracorporeal Membrane Oxygenation and other critical care services

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

Care at Straub Benioff

Straub Benioff's Emergency Department (ED) is available 24-hours a day, 365-days a year to care for you.

Accessing the ED When Arriving at the Front of the Hospital

From the front of the hospital, proceed through the main floor to the emergency room. Ask our staff for assistance by wheelchair if needed. 

Direct Access to the ED from Hotel Street

The emergency department is on the north side of the hospital fronting Hotel Street. You may walk in or drop off your loved one at the Hotel Street entrance. 

Ask our staff for assistance by wheelchair if needed. 

Parking When at the ED

Public parking and valet service (when available), are accessible through the King Street entrance.

We're always available to transport a patient by wheelchair from their car to the Emergency Department.

Emergency Department Renovation Updates

Since March 3, 2025, construction crews have been working on a large-scale renovation of the Emergency Department (ED). The project should take 14 months.

Patient parking near the ED entrance will not be available during this time.

Staff are available to direct vehicles, patients and visitors who need additional assistance. For more details, visit the construction update page.

Care at Wilcox

Physicians and specially-trained personnel staff the Wilcox Emergency Department. 

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

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.

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