Governor Neil Abercrombie called for a meeting with healthcare providers to talk about the developing medical crisis.
The emergency room at Kuakini has seen a dramatic jump in cases over the last two days.
It is up 150 percent, according the Healthcare Association of Hawaii.
Staffers at the Liliha facility told KITV, the ambulances have been coming steadily and they are glad to help.
They said they feel for the emergency medical technicians who are under added pressure.
Toby Clairmont, Director of Emergency Services for the Healthcare Association said he was out at Hawaii Medical Center West when the ER closed Monday morning.
He said he wasn?t sure what to expect.
"We also saw heroic things in my opinion. EMS parked an ambulance and began screening patients themselves in some cases, and directing them to hospitals and in some cases taking them by ambulance to the hospitals. People were being served but not at the hospital," said Clairmont.
The short-term impacts and pre-hospital care are the most immediate concerns but the fate of patient at the specialty transplant center at HMC East and programs like the Hawaii Bone Marrow Registry are in limbo.
"Who is going to pick that up nobody knows at this point," Clairmont said.