A 23-year-old woman who fell 50 feet from a trail in Maunawili possibly fractured her neck, ribs and wrist and suffered "multiple scrapes and bruises," Honolulu Fire Capt. Earle Kealoha said.

The woman was conscious and alert when a fellow hiker got to her, Kealoha said.

The fire department’s Air 1 helicopter retrieved the woman at 1:07 p.m. Sunday and flew her to Maunawili Neighborhood Park, Kealoha said.

Paramedics took the woman to a hospital in serious condition, according to the city’s Department of Emergency Services.