RedactedNarrative: On June 20, 2019 at 1659 hours the Pine Haven Ambulance was paged to the Coulter Bay boat ramp for a woman who had gotten a rope around her leg and was bleeding profusely.  After seeing the page and being in Pine Haven, I responded in my POV to assist.  The woman had been in a boat which was underway with a sport toy tied to the side when the knot came loose.  The woman grabbed the rope but was unable to hold the toy so she turned loose of the rope not realizing she was standing in a coil of the rope.  She was jerked out of the boat and was subsequently rescued by her husband and taken to the boat ramp to meet the ambulance.
  
  Operator claimed he and his wife were driving down Coulter Bay just coming up on plane when the rope holding the inner tube alongside the boat started coming untied.  Victim got out of her seat and tried to hold the tube.  Operator said at the time he looked ahead as he was pulling the throttle back to slow down.  The knot came untied and Victim was unable to hold the inner tube.  As it fell behind the boat, a coil of rope apparently got around Victim's foot and pulled her in the water.  She was not wearing a PFD but was able to treat water while her husband turned the boat around and came back for her.  He said they didn't know the extent of her injury until she was back in the boat.  Operator called for an ambulance as he was driving to the Bear Claw boat ramp.  
  
  The inner tube was a GT3, three person, eighty-five inch tube on 65.5 feet of rope and was heavy enough that Operator needed help loading it in the back of his pickup after the accident.  Given Victim's weight, it is possible the tube could have pulled her out of the boat.  Had the sequent of events been as described, the boat should have slowed fast enough for Operator to grab the rope before Victim was pulled overboard.  Victim was not interviewed until late July when she returned home from the hospital and at that time her recollection of the accident matched Operators.