On February 25th, a park concessioner reported that one of his horseback riding clients, a 47-year-old woman from Alaska, was experiencing acute nausea, vomiting and dizziness and could not continue riding. Rangers Barry Lewis and Howard Adams responded on horseback and stabilized the woman, who was more than two miles from the trailhead at an elevation of more than 8,000 feet. A helicopter was not available, so ranger/IC David Hahn requested the assistance of additional rangers and firefighters form Maui Fire Department's Engine 13 for a carryout. The combined ranger/firefighter team carried her a mile and a half, at night over rocky terrain with an elevation gain of 1,000 feet. She was then transferred to a county ambulance and transported to the hospital.