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REFA Exit Exam • Set 2 Question 11 of 30

A crew has his finger severed off, what action would be the best ?

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Direct Answer

Option B: Wrap the severed finger in sterile gauze place it in a plastic bag, put the bag on ice transport both finger and the victim to the hospital

To preserve tissue viability for potential replantation, a severed digit must be wrapped in sterile gauze, placed inside a sealed plastic bag, and kept cool on ice without direct tissue-to-ice contact during medical evacuation.

All Options

A
Put the severed end of the finger back in the place wrap entire finger in sterile gauze and transport to hospital immediately
B
Wrap the severed finger in sterile gauze place it in a plastic bag, put the bag on ice transport both finger and the victim to the hospital (Correct Answer)
C
Place the severed finger in a plastic bag have the crew place the bag under his armpit transport immediately to the hospital
D
Place a tourniquet at the stub where the finger severed to control bleeding transport to hospital immediately

Detailed Explanation & Context

To preserve tissue viability for potential replantation, a severed digit must be wrapped in sterile gauze, placed inside a sealed plastic bag, and kept cool on ice without direct tissue-to-ice contact during medical evacuation.

Relevant Framework: STCW 2010 Manila Amendments • DG Shipping E-Learning & Exit Exam Standards • Refresher Elementary First Aid (REFA).

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