Maritime QuestionsSmall Craft Minor Injury Winch

During a tack, a cadet's finger gets trapped between the sheet (rope) and the winch as it is loaded up. They cry out in pain. What is the first thing to do?

A. Immediately ease the sheet (let the rope go slack) to release the pressure on the trapped finger — this is far more urgent than anything else in the first few seconds
B. Finish the tack first, then deal with the finger afterwards
C. Shout at them for not being careful, before doing anything else
D. Tell them to pull their finger out themselves while the rope is still under load
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The rope is eased and the finger is free. It looks swollen, bruised, and is painful to move. What should be checked?
A. Check if the finger can be gently moved at all, whether there is a lot of bleeding, and whether the shape of the finger looks normal or clearly bent/deformed (a sign of a possible fracture)
B. Only check it once back at the harbour, not while still sailing
C. Pull on the finger firmly to see if it straightens out, regardless of pain
D. Ignore it completely since fingers are not a serious part of the body
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There is no obvious deformity, just swelling and bruising. What first aid should be given?
A. Wrap the finger extremely tightly with tape to stop any movement completely
B. Bend and flex the finger repeatedly to "work out" the pain
C. Run the finger under very hot water to ease the pain
D. Cool the finger with a cold compress or cloth wrapped around something cold (not ice directly on the skin) for around 10-15 minutes; keep the hand raised if comfortable to reduce swelling; give pain relief from the first aid kit if appropriate and the casualty is able to take it safely
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