Local context
A medical repatriation from Hawaii begins with a realistic choice between Daniel K. Inouye International Airport (HNL) and Kahului (OGG) and Kona (KOA) and Hilo (ITO) and Lihue (LIH). Separate islands without road connections make a standard route unreliable. Therefore, the hospital location, medical stability and international flight availability are assessed together before a departure point is established.