the Dealey Plaza U.K. group sponsored a presentation showing the
medical personnel in Trauma Room one. What follows is a report
of that presentation, which tried to show three things:
- The number of doctors attending the President
- The order of arrival of these doctors (important
for understanding what they might have seen of the throat wound
before/after the tracheotomy)
- The procedures carried out by the doctors.
I used only the published literature, so at
times I took an informed guess ( I have a BSC in Physiology and
spent two years doing cardiovascular research at St. Thomas' Hospital,
London). Also, I couldn't place some doctors who were obviously
there (and are on Brad Parker's list) as they didn't testify to
the WC, have not been interviewed, or just were not specific enough
about where they were or what they did.
This is, therefore, a reconstruction of
17 doctors who attended the President for more than a few minutes
and their relative positions around the table. I am not
suggesting that the doctors didn't move around or that the procedures were carried
out simultaneously; I'm attempting a snapshot.
Drs. Listed in Trauma Room One from various sources*:
Dr. Gene Akin
Dr. Fouad Bashour
Dr. Charles Baxter
Dr. James Carrico
Dr. Kemp Clark
Dr. Charles Crenshaw
Dr. Delaney (mentioned by Jenkins)
Dr. A. H. Giesecke, Jr.
Dr. Robert Grossman
Jackie H. Hunt
Dr. M. T. Jenkins
Dr. Ronald Jones
Dr. Robert McClelland
Dr. Malcolm Perry
Dr. Paul Peters
Dr. Kenneth Salyer
* See also: Dr. Ronald Jones/Medical Evidence
Report of the President's Commission on the Assassination of President Kennedy
Appendix 8: Medical Reports from Doctors at Parkland Memorial Hospital, Dallas,
This appendix (pages 516 through 537) reproduces COMMISSION EXHIBIT NO.
392, which includes:
* Dr. Kemp Clark's statement
* Parkland Memorial Hospital Admission Notes
* Statement concerning Resuscitative Efforts for President John F. Kennedy
* Parkland Memorial Hospital Operative Record for John Connally
Commission Exhibit No. 392
The President arrived in the Emergency Room at exactly 12:43 p. m. in his
limousine. He was in the back seat, Gov. Connally was in the front seat
of the same car, Gov. Connally was brought out first and was put in room
two. President was brought out next and put in room one. Dr. Clark pronounced
the President dead at 1 p. m. exactly. All of the President's belongings
except his watch were given to the Secret Service. His watch was given
to Mr. O. P. Wright. He left the Emergency Room, the President, at about
2 p. m. in an O'Neal ambulance. He awas put in a bronze colored plastic
casket after being wrapped in a blanket and was taken out of the hospital.
He awas removed from the hospital. The Gov. was taken from the Emergency
Room to the Operating Room.
The President's wife refused to take off her bloody gloves, clothes. She
did take a towel and wipe her face. She took her wedding ring off and placed
it on one of the President's fingers.
The President arrived at the Emergency Room at 12:43 P. M., the 22nd of November,
1963. He was in the back seat of his limousine. Governor Connally of Texas
was also in this car. The first physician to see the President was Dr.
James Carrico, a Resident in General Surgery.
Dr. Carrico noted the President to have slow, agenal respiratory efforts.
He could hear a heartbeat but found no pulse or blood pressure to be present.
Two external wounds, one in the lower third of the anterior neck, the other
in the occipital region of the skull, were noted. Through the head wound,
blood and brain were extruding. Dr. Carrico inserted a cuffed endotracheal
tube. While doing so, he noted a ragged wound of the trachea immediately
below the larynx.
At this time, Dr. Malcolm Perry, Attending Surgeon, Dr.
Attending Surgeon, and Dr. Ronald Jones, another Resident in General Surgery,
arrived. Immediately thereafter, Dr. M. T. Jenkins, Director of the Department
of Anesthesia, and Doctors Giesecke and Hunt, two other Staff Anesthesiologists,
arrived. The endotracheal tube had been connected to a Bennett respirator
to assist the President's breathing. An Anesthesia machine was substituted
for this by Dr. Jenkins. Only 100% oxygen was administered.
A cutdown was performed in the right ankle, and a polyethylene catheter
inserted in the vein. An infusion of lactated Ringer's solution was begun.
Blood was drawn for type and crossmatch, but unmatched type "O" RH
negative blood was immediately obtained and begun. Hydrocortisone 300 mgms
was added to the intravenous fluids.
Dr. Robert McClelland, Attending Surgeon, arrived to help
in the President's care. Doctors Perry, Baxter, and McClelland began a
tracheostomy, as considerable quantities of blood were present from the President's
oral pharynx. At this time, Dr. Paul Peters, Attending Urological Surgeon,
and Dr. Kemp Clark, Director of Neurological Surger, arrived. Because of
the lacerated trachea, anterior chest tubes were place in both pleural spaces.
Thiese were connected to sealed unerwater drainage.
Neurological examination revealed the President's pupils to be widely dialted
and fixed to light. His eyes were divergent, being deviated outward; a skew
deviation from the horizontal was present. Not deep tendon reflexes or spontaneous
movements were found.
There was a large wound in the right occipito-parietal region, from which
profuse bleeding was occurring. 1500 cc. of blood were estimated on the drapes
and floor of the Emergeny Operating Room. There was considerable loss of
scalp and bone tissue. Both cerebral and cerebellar tissue were extruding
from the wound.
Further examination was not possible as cardiac arrest occurred at this
point. Closed chest cardiac massage was begun by Dr. Clark. A pulse palpable
in both the carotid and femoral arteries was obtained. Dr. Perry relieved
on the cardiac massage while a cardiotachioscope was connected. Dr.
Fouad Bashour, Attending Physician, arrived as this was being connected. There
was electrical silence of the President's heart.
President Kennedy was pronounced dead at 1300 hours by Dr. Clark.
Kemp Clark, M. D.
Service of Neurological Surgery