RedactedNarrative: The operator and passenger, both wearing life jackets, left on the personal watercraft pulling an empty tube. The passenger was facing backwards on the PWC and was holding the towing rope in her hand. The operator accelerated and the passenger fell off the PWC with the rope wrapped around her hand. When the operator accelerated away from the passenger in the water, the tow rope tightened around the passenger's hand, almost severing her pointer finger, her middle finger, her ring finger and her pinky finger from her hand. She was transported by ambulance to the hospital for surgery.