The scream came from the ocean off the private Kukio Golf and Beach Club on Hawaii's largest island where, moments before, a man had been stand-up paddleboarding.
There's no lifeguard on the beach at the private community, but there is a "private safety team", which launched a four-person canoe.
In the water, they found "a male individual who had been bumped off his paddleboard about 90-140m offshore," Fire Captain Michael Grace told Honolulu Fox-affiliate KHON. "They recovered him from the ocean. He had injuries to his right-side extremities."
On the beach, bystanders and staff members tended to the man's wounds, applying multiple tourniquets before paramedics arrived, Grace said.
Authorities have not identified the man. They said he is a 25-year-old resident of the community at Kukio Golf and Beach Club and had been paddleboarding with his father.