
Fishing is a peaceful and enjoyable pastime, but it’s also one that takes place in unpredictable environments, often far from immediate medical help. Whether you’re fishing from a boat, the shore, or a pier, accidents and injuries can happen. From minor cuts and scrapes to more serious incidents like hypothermia or drowning risks, knowing how to handle emergencies on the water is essential for every angler. This guide will cover important first aid practices for fishermen, helping you prepare for and respond to emergencies during your fishing trip.
Common Fishing-Related Injuries and How to Treat Them
Many of the injuries fishermen encounter are preventable with the right precautions. However, when accidents do happen, knowing how to administer basic first aid can mean the difference between a minor inconvenience and a serious health issue.

Hook Injuries
One of the most common injuries in fishing involves getting hooked. Whether it’s a careless cast, handling a fish, or removing a snagged hook, the sharp points of fishing hooks can puncture the skin. While most hook injuries are minor, improper handling can lead to infection.
- How to Treat a Hook Injury:
- First, assess the injury. If the hook is shallow and easy to remove, use needle-nose pliers to carefully back the hook out of the wound, being sure not to pull on the barb, as this can worsen the injury.
- If the hook has penetrated deeply or if removing it yourself is too difficult, seek professional medical attention.
- Once the hook is removed, clean the wound thoroughly with antiseptic and apply a bandage or dressing.
- Keep an eye on the injury for signs of infection, such as redness, swelling, or pus.
Cuts and Scrapes
Handling fish, bait, and fishing gear can lead to small cuts and scrapes. While these are usually minor, it’s important to clean and care for even the smallest wounds to prevent infection, especially in outdoor environments.
- How to Treat Cuts and Scrapes:
- Rinse the wound with clean water to remove dirt and debris.
- Apply an antiseptic solution, such as hydrogen peroxide or iodine, to disinfect the area.
- Cover the wound with a sterile bandage or dressing.
- Change the dressing regularly and monitor for signs of infection.
Sunburn and Dehydration
Spending long hours in the sun without protection can lead to severe sunburn and dehydration, both of which can ruin your fishing trip and have long-term health effects.
- How to Treat Sunburn:
- If sunburn occurs, get out of the sun immediately.
- Apply a cool compress or take a cool bath to soothe the skin.
- Use aloe vera gel or over-the-counter creams designed to reduce inflammation and promote healing.
- Drink plenty of fluids to rehydrate your body.
- For severe sunburns with blistering, seek medical attention.
- How to Prevent Dehydration:
- Drink water regularly throughout the day, even if you don’t feel thirsty.
- Avoid alcohol and caffeine, as they can contribute to dehydration.
- Wear lightweight, light-colored clothing to stay cool.
Fish Bites and Stings
Some fish species can bite or sting when being handled, especially if they’re frightened or defensive. Fish with sharp fins, teeth, or barbs can cause puncture wounds, which may become infected if not treated properly.
- How to Treat Fish Bites and Stings:
- Clean the wound immediately with soap and water to prevent infection.
- Apply an antiseptic and cover with a sterile bandage.
- If stung by a venomous fish, such as a stingray or lionfish, immerse the affected area in hot water (as hot as the person can tolerate) to neutralize the venom and relieve pain.
- Seek medical attention if the wound is deep, if venom is involved, or if the wound shows signs of infection.
Handling Severe Medical Emergencies on the Water
In addition to minor injuries, there are more serious emergencies that can occur while fishing. Understanding how to respond quickly and effectively can make a significant difference in these situations.

Drowning and Near-Drowning Incidents
One of the most critical emergencies while fishing is the risk of drowning, especially when fishing from a boat or near deep water. Quick action is essential if someone falls into the water and is at risk of drowning.
- How to Handle a Drowning Emergency:
- If someone has fallen into the water, act quickly to get them out. Use a throw rope, life ring, or reach with a fishing rod or paddle to pull them to safety.
- Once the person is out of the water, assess their condition. If they are unconscious but breathing, lay them on their side to prevent aspiration of water or vomit.
- If the person is not breathing, begin CPR immediately. Continue until medical help arrives or the person regains consciousness.
- Always seek emergency medical care after a near-drowning incident, even if the person appears to recover, as complications such as secondary drowning can occur later.
Hypothermia
Fishing in cold weather or water increases the risk of hypothermia, a dangerous condition in which the body loses heat faster than it can produce it. Hypothermia can occur quickly in cold water, even if the air temperature is mild.
- How to Treat Hypothermia:
- Remove the person from the cold environment and get them into a warm, dry place as soon as possible.
- Remove any wet clothing and replace it with dry, warm layers.
- Offer warm (not hot) drinks and high-energy foods like chocolate or nuts to help generate body heat.
- Avoid applying direct heat (like a hot water bottle or heating pad) to the person, as this can cause shock.
- If the person’s body temperature is below 95°F (35°C), or if they are unconscious, seek immediate medical attention.
Allergic Reactions to Bites or Stings
Insects and some types of fish or marine life can cause allergic reactions. For individuals with severe allergies, a bite or sting may trigger anaphylaxis, a life-threatening allergic reaction.
- How to Treat Allergic Reactions:
- Mild reactions can be treated with over-the-counter antihistamines to reduce swelling and discomfort.
- In the case of a severe reaction, look for signs of anaphylaxis, such as difficulty breathing, swelling of the face or throat, rapid pulse, or loss of consciousness.
- If anaphylaxis is suspected, use an epinephrine auto-injector (such as an EpiPen) if available and call emergency services immediately.
- Keep the person calm and monitor their breathing and pulse until help arrives.
Preparing for Fishing Emergencies
The best way to handle emergencies while fishing is to prepare in advance. Carrying the right equipment and knowing basic first aid skills can make all the difference in a crisis.

Bring a Fully Stocked First Aid Kit
A well-stocked first aid kit is a must for every fishing trip. In addition to standard items like bandages and antiseptic wipes, include specialized gear such as tweezers for hook removal, adhesive strips for small cuts, and waterproof bandages. If you’re fishing in remote areas, consider adding a snake bite kit or emergency thermal blankets for extreme conditions.
Learn CPR and Basic First Aid
Taking a CPR and first aid course is one of the most valuable skills any angler can have. Being able to administer life-saving care in the crucial minutes before professional help arrives could save a life

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Many local health organizations or community centers offer courses in CPR and first aid, and there are also online resources available.
Have a Communication Plan
If you’re fishing in a remote location, cell service may be unreliable. Bring a two-way radio, satellite phone, or other reliable communication devices to ensure you can contact emergency services if needed. Always let someone know where you’ll be fishing and when you expect to return.
Conclusion
Fishing is a wonderful way to spend time in nature, but it’s important to be prepared for emergencies that may arise while on the water. Whether it’s a minor injury like a cut or hook puncture, or a more serious situation such as hypothermia or drowning, knowing how to handle these emergencies can help keep you and your fellow anglers safe. By packing the right gear, learning first aid skills, and staying aware of potential dangers, you’ll be ready for a safe and enjoyable fishing adventure.