APPENDIX VIII

Medical Reports From Doctors at

Parkland Memorial Hospital, Dallas, Tex.

Gov. Cenally 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. As 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 was put in a bronze
colored plastic casket after being wrapped in a blanket and
was taken out of the hospital. He was 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 gives,
clothes. She did take a towel and wipe her face. St.e
took her wedding ring off and and placed it on one of the
President's fingers.

COMMISSION EXHIBIT No. 392

Commission Exhibit

SUMMARY

The President arrived at the Emergency Room at 12:43 2.M., the 22nd of November, 1953. He was in the back seat of his limousine. Governor Connally of Texas was also in this caz. The first physician to see the President was Dr. James Carrico, & Resident in General Surgery.

Dr. Carrico noted the President to have slow, agonal 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. Charles Baxter, 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 "CRH 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 fracheostomy, as considerable quancities 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 Surgery, arrived. Because of the lacerated

COMMISSION EXHIBIT No. 392-Continued

SUMMARY Page 2

trachea, anterior chest tubes were placed in both pleural These were connected to sealed underwater drain

spaces. age.

Neurological examination revealed the President's pupils to be widely dilated and fixed to light. His eyes were divergent, being deviated outward; a skew deviation from the horizontal was present. No deep tendon reflexes or spontaneous movements were found.

There was a large wound in the right occipitoparietal region, from which profuse bleeding was occur13. 1500 cc. of blood were estimated on the drapes and floor of the Emergency Operating Room. There was cons_derable loss of scalp and bone tissue. Both cerebral and cerebellar tissue were extruding from the wound.

Further examination was not possible as cardiac
Closed chest cardiac

azzest occurred at this point.
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 electri-
cal silence of the President's heart.

President Kennedy was pronounced dead at 1300

hours by Dr. Clark.

Kemp Clark, M.D.
Director

Service of Neurological Surgery

co to Dean's Office, Southwestern Medical School co to Medical Records, Parkland Memorial Hospital

COMMISSION EXHIBIT No. 392-Continued

Emergessing room

1033

When patient interd en

audulence carseage had slow agonal respiratory effects and sein cardine beats my suscul

Two external wounds werk natis. Ene

wound

station

small penetrating end nich in lower 113. The other wound bust woulsed the calvarium and shaadded brain time present à prufuse sozenge Pio plic or

Blood passure were present. Pripels belat pelated + fixed. a cuffed endotracheal tube was inserted and through the largega scape recappel wound g immediately below the larynx. The tube wor possul pand the laceration & the cufferafletical. Respiration using the assister en sepp mater were instituted. Con currently in IV. infusion of Lactuted lingua salution wor iegan win catheter placed in @ leg. + hord brown for type and crossmatch. Type o Ph negature Blood won abtained or well os bydes contisaie.

performed by De Perry and Bulat chest tuber inserted.

(OVER)

COMMISSION EXHIBIT No. 392-Continued

1767

In addition de Jinhein began desp & custhesia machine, cardive monitor + almutter attacked Solu Cortif 11 quier (scome), attempt to contral slow corzing Fun castral & carebela frase via packs instituted. Dispets Hose meanimes os mell as external cardial missage BP non returned and EKB cundance cardiac activity abtained.

never