May 13, 2026

EMS to replace regulators on portable oxygen cylinders

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HONOLULU — While a final investigative report into last month’s fatal ambulance fire is still months away, Honolulu Emergency Medical Services is already acting on preliminary findings by ordering new regulators for all portable oxygen tanks used by its paramedics in the field, EMS director Jim Ireland told the Honolulu City Council at a special public safety meeting earlier this week.


What You Need To Know

    • Ireland said the purchase was made out of an abundance of caution after a preliminary report on the incident indicated that the explosion and subsequent fire likely started with a portable oxygen regulator
    • EMS ordered brass regulators, the same it was already using, which are considered less susceptible to fire-related accidents than aluminum regulators
    • The specific cause of the explosion is still under investigation
  • Ireland said the department is reviewing best practices and its own policies and procedures for the safe use of oxygen cylinders

Ireland said the purchase was made out of an abundance of caution after a preliminary report on the incident indicated that the explosion and subsequent fire that killed 91-year-old patient Fred Kaneshiro and critically injured 36-year-old paramedic Jeff Wilkinson likely started with a portable oxygen regulator.

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