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(Testimony of Dr. William Kemp Clark)Mr. SPECTER. And who was present, if anyone, upon your arrival, attending to the President? Dr. CLARK. Dr. Jenkins, that is M. T. Jenkins, I suppose I ought to say, Dr. Ronald Jones, Dr. Malcolm Perry, Dr. James Carrico; arriving either with me or immediately thereafter were Dr. Robert McClelland, Dr. Paul Peters, and Dr. Charles Baxter. Mr. SPECTER. What did you observe the President's condition to be on your arrival there? Dr. CLARK. The President was lying on his back on the emergency cart. Dr. Perry was performing a tracheotomy. There were chest tubes being inserted. Dr. Jenkins was assisting the President's respirations through a tube in his trachea. Dr. Jones and Dr. Carrico were administering fluids and blood intravenously. The President was making a few spasmodic respiratory efforts. I assisted. in withdrawing the endotracheal tube from the throat as Dr. Perry was then ready to insert the tracheotomy tube . I then examined the President briefly. My findings showed his pupils were widely dilated, did not react to light, and his eyes were deviated outward with a slight skew deviation. I then examined the wound in the back of the President's head. This was a large, gaping wound in the right posterior part, with cerebral and cerebellar tissue being damaged and exposed. There was considerable blood loss evident on the carriage, the floor, and the clothing of some of the people present. I would estimate 1,500 cc. of blood being present. As I was examining the President's wound, I felt for a carotid pulse and felt none. Therefore, I began external cardiac massage and asked that a cardiotachioscope be connected. Because of my position it was difficult to administer cardiac massage. However, Dr. Jones stated that he felt a femoral pulse. Dr. CLARK. A femoral artery is the main artery going to the legs, and at the junction of the leg and the trunk you can feel the arterial pulsation in this artery. Because of my position, cardiac massage was taken over by Dr. Malcolm Perry, who was more advantageously situated. Dr. CLARK. By this time the cardiotachioscope, we just call it a cardiac monitor for a better word---- Dr. CLARK. The cardiotachioscope had been attached and Dr. Found Bashour had arrived. There was transient electrical activity of the President's heart of an undefined type. Approximately, at this time the external cardiac massage became ineffectual and no pulsations could be felt. At this time it was decided to pronounce the President dead. Dr. CLARK. Death was fixed at 1 p.m. Mr. SPECTER. Was that a precise time or an approximate time, or in what way did you fix the time of death at 1 o'clock? Dr. CLARK. This was an approximation as it is, first, extremely difficult to stage precisely when death occurs. Secondly, no one was monitoring the clock, so an approximation of 1 o'clock was chosen. Dr. CLARK. I did. Mr. SPECTER. And did you have any part in the filling out of the death certificate? Dr. CLARK. Yes. Dr. CLARK. I filled out the death certificate at the request of Dr. George Burkley, the President's physician at the White House, signed the death certificate as a registered physician in the State of Texas, and gave this to him to accompany the body to Washington.
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